← Return to Endometrial Cancer: Noticing my blessings every day

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@odette

I rarely write messages, but I found your comments very thoughtful. I was diagnosed with stage 1A ovarian clear cell carcinoma (very rare) in May 2017. Although I was considered asymptomatic, a physician I was seeing for an unrelated problem encouraged me to have a CT scan and a CA-125 test. Fortunately, I had access to one of the top cancer centers (as well as being able to obtain a second opinion from another). At the time, the NCCN recommendation was chemo despite my being told it was likely a surgical cure. As a scientist by training, I had very strong reservations about following this course of action (international research found chemo ineffective ten years ago for OCCC). In the end, my treatment was very modified as a result of developing PN. In less than two years time, the NCCN has changed their recommendations to "observe" as an option for this histology. I now live with the concerns about the long lasting effects of treatment.
At the institution where I received care, germline testing is done as well as genetic testing of the tumor. I was grateful to be able to tell my daughters it was a somatic mutation. However, it is a histology associated with endometriosis which afflicts all of the women in my family.
I continue to do research on ovca (so heterogeneous) with a focus on OCCC. It is a time of rapid change in this area.
Being educated about this disease is very important to me, but I struggle with wanting to do "something" to help other women and feeling helpless. For me, the emotional/psychological aspect of recovery has been the most trying. I focus on being healthy (although I always had a very healthy lifestyle) and my family and friends. Sometimes I wish I could just file this whole experience away as some of my friends have managed to do, but at the same time I feel compelled to pursue my understanding of this dreadful disease.
I hope you stay well. And thank you for your contribution to this site.

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Replies to "I rarely write messages, but I found your comments very thoughtful. I was diagnosed with stage..."

Odette, Thank you for your very thoughtful reply.

Like you, I'm a scientist (experimental psychology) although not in medicine or the biological sciences. The information about cancer is all new to me but as a scientist I want to know it all, and each question leads to another question Also like you, I cannot file the information away as some of the people I know have done. I had and have a healthy lifestyle and no history of gynecological cancers in my first degree relatives. Genetic testing of the tumor was negative. I don't have children but I do have a niece whose mother (my sister-in-law) died from from a digestive disease cancer two years after diagnosis of endometrial cancer. I don't know if my sister-in-law had genetic testing but I'm trying to figure out to get my niece who is only 30-years-old to follow up on her own health.

When I read the report on the positive peritoneal washings, I did a search on PubMed for peer-reviewed literature. Then, my husband who I mentioned is a pathologist and I talked about what we both read. I understand research design and statistics from my doctoral training. For many years, I did not know what frozen sections were when he was "I'm on frozen sections today" or what he did in tumor board. Now I do and I keep asking questions. How do you keep your focus on your own recovery and process your own emotions vs. the objective distance you have in your own work as a scientist? Will we continue to make ourselves even more anxious with our worrisome minds and questions?

Thank you for sharing on this thread, and I wish you good health and that you stay well.