How to handle 3 conflicting pathology reports?

@delizzr I thought I would check back in with you. Have you decided on whether you will go ahead with the referral to Mayo Clinic? Or anywhere else?

@inquirer thank you. I'm sorry you had that experience. I'm now also getting a recommendation to do Brachy alone but they "will offer" chemo (fewer rounds than standard) because I " am interested" (love that framing).

This is so frustrating because the logic of interpreting the path reports and then application of ESTRO guidelines isn't making sense to me. And, now, they are saying I have 2 weeks to decide because after that we ate getting too close to the 4-month window.

@naturegirl5 I got a referral to Mayo from my primary, but ended up scheduled with another specialty(not oncology). Still trying to get Mayo Onco to look at info.

@delizzr I've been through a referral process in another department (orthopedics) and it took a few months to get an appointment. Your request is far more urgent. Did ask about the process in oncology to get an appointment? I hope you hear back soon.

It was confusing to me too, but at MSK, where I get my second opinions, the oncologist believed I should have had chemo within a certain period after surgery (I think it was 3 months). Since 4 months has passed, she thought it was too late and proposed the "wait and see" approach instead. I normally ask a lot of questions to better understand why, but I was so mentally exhausted I could hardly think. At that point (last year), it just was what it was. If the cancer shows up again, I'll just have to fight the best I can.

@delizzr Yes! I just posted a second ago that MSK suggested the "wait and see" approach instead of chemo because it had been 4 months since surgery. Please fact everything I say, but I'll share what I learned that may be helpful to you. Each oncologist (in my case) based their decision to recommend chemo on whether cancer cells existed beyond the uterine lining into the myometrium (muscle layer beneth). If cancer cells were in the myometrium then they could have used the blood vessels and/or lymphatic system that exists in there to spead anywhere in the body. Chemo is then highly recommended, especially for the serous type cancer. My understanding is that stage 1a allows up to 50% invasion into the myometrium, so they were recommending chemo for me even though the invasion was small. If you're 1c, that means there's invasion beyond 50%. Given what I just explained, I would think they would have automatically recommended chemo. The only difference I can think of might be in the type of cancer. Mine was Serous Endometrial Intraepithelial Carcinoma.