Post-treatment follow up for clear cell endometrial cancer

Posted by ffr @ffr, Mar 16, 2025

Just wondering how your oncologists are monitoring you for recurrence of an aggressive cancer . I am two+ years post treatment with surgery, chemo, radiation & brachytherapy. I had metastasis to local & distant lymph nodes during chemo so I’m deemed chemo resistant.
-How often do you see your oncologist?
-Do you get CT scans & if so how often?
Is there concern for radiation overload?
-Is anybody using liquid biopsies? A blood test seems like a great way to monitor for cancer cells but my oncologist is not a fan.
I’m always worried about recurrence, so your experiences might be helpful.

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I had a full hysterectomy (they took it ALL), carbo-pax chemo, external beam radiation, and brachytherapy. I was also in a Keytruda trial and still don’t know if I had the drug or placebo, but I was kicked out before my final chemo/trial infusion because I had metastasis to lymph nodes. So I am considered chemo resistant.
Side effects: bladder & bowel issues and lymphedema.
I have had pelvic therapy, lymphedema therapy, and PT.
Also, I still have check-ins with a social worker and therapist due to the emotional effects of the aggressive cancer diagnosis and fear of recurrence.
None of these side effects are unique and I know many women have it worse. But they are constant reminders of my story and my fears.

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Profile picture for vara @vara

Pre surgery atleast three CT scans were done, not counting the ones done in COVID time. Thinking of four CT,s. in the coming year makes me think of another cancer elsewhere
as I am P53 mutant positive.
I am thinking of requesting for an MRI of pelvis and abdomen.
No fear of radiation.

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@vara Like @ffr I’ve never had an MRI for surveillance. I did have a PET/MRI when there was physical evidence for recurrence of endometrial cancer that was found during a clinical exam. I understand your concern about recurrence, mets, or another cancer. This has often been on my mind although less so in recent years. Have you discussed this with your oncologist?

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