Has your doctor been straightforward about your survival?

Posted by lathomasmd @lathomasmd, Jun 2, 2025

Hi all. I’m so glad this forum is here. I was diagnosed with papillary serous ovarian cancer, stage IIIc, three-and-a-half years ago. I just finished my third course of chemo. My doctors will not be very frank when I ask “What are my chances of long-term survival?” They say things like, “Every patient is different” “I don’t like to put a number on it” and, believe it or not, “You could be hit by a bus tomorrow!”
I’d very much like to know what other patients’ doctors have told them regarding their chances. Have they been straightforward with you? Or are they vague and uncomfortable discussing odds of survival?
Thank you.

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Profile picture for juliejane @juliejane

signatera is just another tool I am using for my own piece of mind. I have no evidence of disease but that can change at anytime. I still have my chemo port in and it won’t be remove until November, if there’s no reoccurrence. I was told I have a 50% chance of reoccurrence at this point.

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Was Signatera covered by insurance? Would you be willing to tell us how much it's set you back?

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I am 71 years old. I have not paid anything for this test. I know when I look at my claim’s insurance pays over a thousand a blood test. I was lucky in that my oncologist was willing to order this when I asked for it. Some won’t!

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Profile picture for Helen, Volunteer Mentor @naturegirl5

I'm going to jump back in to this excellent discussion and share how I look at my chances of survival.

I was diagnosed with endometroid carcinoma, FIGO Grade 1, Stage 1a, in 2019. My surgeon (gyn-oncologist at Mayo Clinic) told me that the 5-year survival rate of my women with my diagnosis is over 90%. Good news. And yet I had a recurrence in 2021. That recurrence lowered my 5 year survival rate. Here I am 4 years later returning for my periodic cancer surveillance appointments and the worry about another recurrence or a new primary cancer never completely leaves my mind.

I have learned that I am not a statistic. That's too rational for my emotional mind. I have had a fear of flying in an airplane for many years. I do it anyway and while the fear has lessened over the years it is still there. Telling me that more people die in auto accidents than plane crashes doesn't help me. That's just too rational and does not speak to how I feel as in my emotions.

I'm doing all I can to live a healthy life. I follow my medical providers recommendations. I make a point to keep family and friends as my first priority. I got on a plane to spend 10 days with my brother. And I have reconnected with friends from high school and university.

I do want my doctors to share all the information including survival rates with me. As anxious as I am in these medical encounters I watch and listen to my doctor. Do you look at your doctor's face and body language when you ask questions? Do you ask someone to go with you to your appointments to track and understand what is so difficult to understand at the time?

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My oncologist didn't answer my question: "How long do I have?" He mumbled something which I asked him to repeat. He got agitated at that and said something like:"I'm going to tell you straight." And I said: "Give it to me." He mumbled something else which I didn't get and then he ran out of the room.

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Profile picture for Denise @denisestlouie

I get the same answers. The truth is we don't know how long we will live. I think this is especially true with all the therapies that have been opened up to gynological cancers in the last 5 years. If you go out to PubMed you're not going to find much that has been written. That is new about the long-term survival of people who are receiving these new therapies. It just doesn't exist.

I have mixed Cirrus clear cell uterine cancer. I hit the jackpot two very rare deadly cancers all in one spot. But I have decided that my survival hinges on what I do. And I am doing everything the oncologist recommends as far as chemotherapy and maintenance. I'm also working with a holistic doctor and I have corrected so many issues within my own body just by allowing a functional /holistic doctor direct my overall health. My bet is I'm going to be the unicorn. I'm going to survive this disease. I don't care what oncologist tell me I'm doing it.

How do you like that for sassy answer? LOL

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What are the 2 types you've been diagnosed with, and were both stage 4?

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Profile picture for tdfraze @tdfraze

What are the 2 types you've been diagnosed with, and were both stage 4?

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Uterine mixed serous/clear cell. Stage 3. Both cancer types don't respond to chemotherapy very well and even a stage one chemotherapy is being recommended. The 5 year OS is 58% the 10 year is 15% to 0.

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Hello; I also have Uterine serous Carcinoma. It is stage 2c(m)—(m) means the cancer has a p53 mutation. P53 is part of our bodies’ tumor-fighting reaction to cancer and a mutation means that my P53 is not functioning. I will start 6 rounds of chemo soon to fight it.

Pathology report showed that I also have Low-grade endometrial stromal sarcoma. However, my gyn/onc indicated that since I had the hysterectomy, no additional treatment is needed for that.
So for now, I’ll focus on preparing myself for chemo to fight the USC. The goal is to prevent recurrence as USC has a high recurrence rate.

Yes..It’s a LOT to absorb and deal with sometimes. I have my moments which is normal (crying in the shower), but overall I stay active, keep positive thoughts and live each day as the blessing that it is.

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I too asked that question about long term prognosis. And I also received vague answers. So irritating . My research says I have a 15% chance of no further cancer.
I have serous carcinoma endometrial/ovarian cancer stage 3. I’m in remission currently and diagnosed 3/2022

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Profile picture for patientgirl @patientgirl

Until about a week ago I was extremely sad and depressed… I was angry all the time because of this diagnosis 6 months ago.
But now I’m feeling like I HAVE to get back to new “normal” or I’ll be wasting my precious time.
Talk to a therapist, try an uplifting “gummy” (no one’s judging here) try anything to change your attitude, take a trip! Live your life NOW! Find a partner who will encourage and participate in activities to help you to get out, do things that you are able to do . After accepting what I really could not change except my attitude, I wake up excited to get moving!
Good luck, tell friends that you need an uplift, they will respond. Walking in sunshine is very therapeutic. All my best to you.

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I have heard of us ladies living 10 or more years more. Yes with some reoccurrences, and more treatments.
I am trying to natural therapies also. Chlorophyll and graviola ) also known as soursop). Finding out my cancer was a form of lynch syndrome making me susceptible to 4 cancers was scary and depressing. I decided I have a choice. Have this condition and be scared, worried, obsessed with dying and sad…or to be happy when I feel good, live life and carry on. So I chose…thrilled to be alive with a measure of health. I try to eat right, (mostly) and stay active. Just got back from Europe with my husband and daughter. We were walking 5-9 miles daily. Feeling great for now!

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Profile picture for sosophia245 @sosophia245

Hello; I also have Uterine serous Carcinoma. It is stage 2c(m)—(m) means the cancer has a p53 mutation. P53 is part of our bodies’ tumor-fighting reaction to cancer and a mutation means that my P53 is not functioning. I will start 6 rounds of chemo soon to fight it.

Pathology report showed that I also have Low-grade endometrial stromal sarcoma. However, my gyn/onc indicated that since I had the hysterectomy, no additional treatment is needed for that.
So for now, I’ll focus on preparing myself for chemo to fight the USC. The goal is to prevent recurrence as USC has a high recurrence rate.

Yes..It’s a LOT to absorb and deal with sometimes. I have my moments which is normal (crying in the shower), but overall I stay active, keep positive thoughts and live each day as the blessing that it is.

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i have 4B serous endometrial. just finished the 6 rounds and everyone IS different but i had no horrid symptoms (i lost hair, but...). just do what you can (gargle with salt/baking soda, cold things on feet, eat well). started on life-long (probably) 3-weeks herceptin infusions yesterday. hopefully my pee will stop smelling so badly now that the toxin are done (for now).

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Profile picture for birdergirl @birdergirl

i have 4B serous endometrial. just finished the 6 rounds and everyone IS different but i had no horrid symptoms (i lost hair, but...). just do what you can (gargle with salt/baking soda, cold things on feet, eat well). started on life-long (probably) 3-weeks herceptin infusions yesterday. hopefully my pee will stop smelling so badly now that the toxin are done (for now).

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Thank you for your reply. It’s good to know you did not suffer many of the side effects that go with the chemo. In anticipation of hair loss, I’m considering getting mine chopped so that effect won’t be as dramatic. I appreciate the tips on mouth rinsing and foot care. I’ll stock up now on baking soda. Chemo most likely will be followed by radiation but I’m not sure. I read that targeted treatment is not effective for USC —there’s so much info out there and I’m careful now what I read in the Web. I’m wishing you success and healing on your journey. Thank you again.

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