Ovarian cancer - not responding to chemo

Posted by ktoth @ktoth, Jul 27 1:03pm

I have high grade serous carcinoma ovarian cancer. I have a 12cm tumor on my left ovary, the cancer has spread to two lymph nodes and also both of my lungs. I have had 4 rounds of paclitaxel and carboplatin. A CT scan was done post round 3 of chemo. The results show that the chemo is not working. The cancer lesions in my lungs have grown. The surgical oncologist said that I am currently not a candidate for surgery as the benefit doesn't outweigh the risk. We meet with the medical oncologist this Friday, July 31, 2026.

What other options are out there for me at this point since my cancer is platin resistant and that is typically the gold standard for treating ovarian cancer.

Does the Mayo clinic have more advanced options for someone like me in my current situation? I live in British Columbia Canada. Debating if I should seek treatment abroad where more advanced care would potentially be available for me.

I feel like I have just lost 3 precious months undergoing a chemotherapy that wasn’t working.

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

Profile picture for nycmusic @nycmusic

Have your docs considered adding Keytruda into your infusions ? Some people have had success with that. Wishing you the best as you seek better treatment. Consider 2nd or 3rd opinions—there are options out there.

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@nycmusic thank you! I will add that one to the list.

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I also live in BC.
My tumour markers did not fall until after 4 rounds of chemotherapy.
the same treatme t and diagnosis.
after 6 rounds the marker was 39.

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Profile picture for ktoth @ktoth

@lathomasmd thank you for this information. Hopefully we will be able to do a telehealth visit with the Mayo Clinic soon.

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@ktoth, if you would like to seek a second opinion with Mayo Clinic experts, you can submit a request here: https://mayocl.in/1mtmR63

How did you appointment with the medical oncologist go on Friday?

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Profile picture for cookercooker @cookercooker

I have high grade serous cell endometrial cancer stage 3C. Had a radical hysterectomy, margins not cleared, no possibility of surgery. 6 rounds of Carb/Pac but only worked somewhat for a few months, then a new tumor in the vaginal cuff. Currently in a clinical trial testing Enhertu and it is working. NED. Enhertu works for HER 2+ and 3 and has been successful in treating breast cancer. https://www.mayoclinic.org/diseases-conditions/breast-cancer/expert-answers/breast-cancer/faq-20058066. The clinical trial is in Kelowna, but I don't know whether they are are still recruiting patients. You could ask your doctors if there is any possibility of getting on it or whether there are any other trials.

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@cookercooker
I have also been on enhertu for serous cell endometrial cancer which recurred after 18 months of carb/pac.....it was approved by the FDA for endometrial cancer in August 2024. Not a trial drug anymore....I am being treated at MSK in NYC. I have been having infusions of enhertu since May of 2025 and my scans have all been NED since the first treatment...a very good targeted chemo drug for HER 2 + cancer....if you're a candidate for the drug it works ! Best of luck to you !

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Profile picture for alohman08 @alohman08

@cookercooker
I have also been on enhertu for serous cell endometrial cancer which recurred after 18 months of carb/pac.....it was approved by the FDA for endometrial cancer in August 2024. Not a trial drug anymore....I am being treated at MSK in NYC. I have been having infusions of enhertu since May of 2025 and my scans have all been NED since the first treatment...a very good targeted chemo drug for HER 2 + cancer....if you're a candidate for the drug it works ! Best of luck to you !

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@alohman08 That's terrific news! I live in Canada and the medical system here is collapsing. It also takes forever to get drugs approved. Enhertu is approved for breast cancer, here, but I expect it to be approved for EC within the next five years.

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Profile picture for maghera @maghera

I also live in BC.
My tumour markers did not fall until after 4 rounds of chemotherapy.
the same treatme t and diagnosis.
after 6 rounds the marker was 39.

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@maghera they have stopped the current treatment as my CT scan that was done on July 15th after round 3 showed the cancer has spread. So they have to re biopsy my tumor and do extensive testing on it to come up with a plan B.

Happy for you that your treatment is working ❤️

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Profile picture for Colleen Young, Connect Director @colleenyoung

@ktoth, if you would like to seek a second opinion with Mayo Clinic experts, you can submit a request here: https://mayocl.in/1mtmR63

How did you appointment with the medical oncologist go on Friday?

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@colleenyoung Thank you Colleen for the link.
The meeting went pretty good. We left there with some hope that they will come up with a plan B. They need to biopsy my tumor again so that they can do further extensive testing on it. My case is being presented to a panel of doctors today, so hopefully they will come up with a plan that will be effective in shrinking the cancer. The treatment that I was getting has now been stopped (carboplatin and paclitaxol Q21 days), I had 4 Rounds of it, however the CT that was done after round 3 showed that the cancer has spread in my lungs. They are looking at putting me in the POG program (Personalized Oncology-Genomics). They won’t do surgery at this time as they said the benefits don’t outweigh the risks.

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Profile picture for alohman08 @alohman08

@cookercooker
I have also been on enhertu for serous cell endometrial cancer which recurred after 18 months of carb/pac.....it was approved by the FDA for endometrial cancer in August 2024. Not a trial drug anymore....I am being treated at MSK in NYC. I have been having infusions of enhertu since May of 2025 and my scans have all been NED since the first treatment...a very good targeted chemo drug for HER 2 + cancer....if you're a candidate for the drug it works ! Best of luck to you !

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@alohman08 Thank you for your response, it is encouraging to hear of others who are going through the same situation that are having positive results. It sounds like Enhertu has a high success rate for those who are put on it. I’m not sure if this drug is available in Canada.

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Profile picture for cookercooker @cookercooker

@alohman08 That's terrific news! I live in Canada and the medical system here is collapsing. It also takes forever to get drugs approved. Enhertu is approved for breast cancer, here, but I expect it to be approved for EC within the next five years.

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@cookercooker I think it has been approved but not paid for.

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Profile picture for maghera @maghera

@cookercooker I think it has been approved but not paid for.

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@maghera Approved in Canada but not paid for by your province (British Columbia)?

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