What helps prevent recurrence of endometrial cancer?

Posted by pangasinan143 @pangasinan143, May 28 12:26pm

I want to know more about endometrial cancer
* post treatment
* prevention of recurrence

Interested in more discussions like this? Go to the Gynecologic Cancers Support Group.

Profile picture for jc100 @jc100

@cookercooker
I would ask for internal examinations. I have one each time at my follow up visits.

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@jc100 Yes, I plan to. I had tried to get an appointment with a gynecologist back home (my treating oncologist is in Kelowna and I'm in Victoria), but two out of two the gynes refused to see me.

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Profile picture for Helen, Volunteer Mentor @naturegirl5

@cookercooker My NP performs an internal exam at every cancer surveillance appointment. I've been NED for 4 1/2 years and she still does an internal exam. I asked her about this and she was surprised to find out that some providers do not perform internal exams at these appointments. An internal exam - a pelvic exam - is how my recurrence on the vaginal cuff was found.

So, yes, in your place I'd advocate and insist on an internal exam.

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@naturegirl5
Yes, I will. Thank you!

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Profile picture for cookercooker @cookercooker

@jc100 Yes, I plan to. I had tried to get an appointment with a gynecologist back home (my treating oncologist is in Kelowna and I'm in Victoria), but two out of two the gynes refused to see me.

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@cookercooker
Typically, it is the treating oncology/cancer team does the routine follow up. Initially, I was followed up every three months, now every six months. CT scan, blood tests, and internal exam are included in the follow ups. My cancer team is in town. My oncology surgeon was 4 hours away, and I see him once a year for an internal exam also.

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Profile picture for jc100 @jc100

@cookercooker
Typically, it is the treating oncology/cancer team does the routine follow up. Initially, I was followed up every three months, now every six months. CT scan, blood tests, and internal exam are included in the follow ups. My cancer team is in town. My oncology surgeon was 4 hours away, and I see him once a year for an internal exam also.

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@jc100 Sounds like you're in good hands. I'll have to lean into my oncologist, it seems. Thank you for sharing.

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Profile picture for cookercooker @cookercooker

@jc100 Sounds like you're in good hands. I'll have to lean into my oncologist, it seems. Thank you for sharing.

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@cookercooker
I hope everything works out for you.

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No internal exam after endometrial cancer?!!!
The vaginal cuff is a common area for recurrence and to not have that checked is not standard of care. Definitely insist upon it or consider switching your medical care.

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Profile picture for ffr @ffr

No internal exam after endometrial cancer?!!!
The vaginal cuff is a common area for recurrence and to not have that checked is not standard of care. Definitely insist upon it or consider switching your medical care.

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@ffr Hmmm. And I'm on a clinical trial. thank you pointing this out to me.

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I was also in a clinical trial, and
I would think that the trial guidelines would require specific surveillance measures, including the internal exam. It’s not easy, but questioning your oncologist and insisting upon the pelvic exam seems necessary, for your piece of mind more than anything.

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Profile picture for inquirer @inquirer

@dobraka My situation was the same 1 year ago. Saw spot of blood, went to gynocologist and was diagnosed with Serous Endometrial Intraepithelial Carcinoma. I was shocked and terrified. Happy to share my experiences as you traverse this. Just reach out. It's quite an emotional whirlwind for me.

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@inquirer thank you so much. I hope that you are doing well. I get blood work for CA125 this week, CT and EKG on August 4, see my PCP for clearance August 3, and surgery August 12. Day by day.

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Profile picture for dobraka @dobraka

@inquirer thank you so much. I hope that you are doing well. I get blood work for CA125 this week, CT and EKG on August 4, see my PCP for clearance August 3, and surgery August 12. Day by day.

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@dobraka So far, I'm doing well. I try not to focus so much on the worst-case scenario, yet balance that with being vigilant. Keep us informed. I'm curious about your CA125. Mine was only 6. The place you are right now was the worst part for me; waiting to know the specifics (stage, locations, etc.) kept me in a state of anxiety. I prepared for the worst and fought for the best (with supplements and doctors that specialized in my specific cancer). From what you've shared, sounds like you're headed in the right direction.

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