What helps prevent recurrence of endometrial cancer?

Posted by pangasinan143 @pangasinan143, May 28 12:26pm

I want to know more about endometrial cancer
* post treatment
* prevention of recurrence

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

Profile picture for jc100 @jc100

@cookercooker
I would ask for internal examinations. I have one each time at my follow up visits.

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@jc100 Yes, I plan to. I had tried to get an appointment with a gynecologist back home (my treating oncologist is in Kelowna and I'm in Victoria), but two out of two the gynes refused to see me.

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Profile picture for Helen, Volunteer Mentor @naturegirl5

@cookercooker My NP performs an internal exam at every cancer surveillance appointment. I've been NED for 4 1/2 years and she still does an internal exam. I asked her about this and she was surprised to find out that some providers do not perform internal exams at these appointments. An internal exam - a pelvic exam - is how my recurrence on the vaginal cuff was found.

So, yes, in your place I'd advocate and insist on an internal exam.

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@naturegirl5
Yes, I will. Thank you!

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Profile picture for cookercooker @cookercooker

@jc100 Yes, I plan to. I had tried to get an appointment with a gynecologist back home (my treating oncologist is in Kelowna and I'm in Victoria), but two out of two the gynes refused to see me.

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@cookercooker
Typically, it is the treating oncology/cancer team does the routine follow up. Initially, I was followed up every three months, now every six months. CT scan, blood tests, and internal exam are included in the follow ups. My cancer team is in town. My oncology surgeon was 4 hours away, and I see him once a year for an internal exam also.

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Profile picture for jc100 @jc100

@cookercooker
Typically, it is the treating oncology/cancer team does the routine follow up. Initially, I was followed up every three months, now every six months. CT scan, blood tests, and internal exam are included in the follow ups. My cancer team is in town. My oncology surgeon was 4 hours away, and I see him once a year for an internal exam also.

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@jc100 Sounds like you're in good hands. I'll have to lean into my oncologist, it seems. Thank you for sharing.

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Profile picture for cookercooker @cookercooker

@jc100 Sounds like you're in good hands. I'll have to lean into my oncologist, it seems. Thank you for sharing.

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@cookercooker
I hope everything works out for you.

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No internal exam after endometrial cancer?!!!
The vaginal cuff is a common area for recurrence and to not have that checked is not standard of care. Definitely insist upon it or consider switching your medical care.

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Profile picture for ffr @ffr

No internal exam after endometrial cancer?!!!
The vaginal cuff is a common area for recurrence and to not have that checked is not standard of care. Definitely insist upon it or consider switching your medical care.

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@ffr Hmmm. And I'm on a clinical trial. thank you pointing this out to me.

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I was also in a clinical trial, and
I would think that the trial guidelines would require specific surveillance measures, including the internal exam. It’s not easy, but questioning your oncologist and insisting upon the pelvic exam seems necessary, for your piece of mind more than anything.

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