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Hysterectomy due to Cervical Cancer-No GYN Onc consult Hysterectomy due to Cervical Cancer-No GYN Onc consult

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Unread 02-16-2008, 12:42 PM
Hysterectomy due to Cervical Cancer-No GYN Onc consult

I know I'm not considered a Survivor, but I was diagnosed with Stage O(non-invasive) cervical cancer in Nov 07. My OB-GYN recommended a hysterectomy, and that a GYN-Onc was not necessary, since it was not invasive. The cancer was involved the entire cervix and was confined to my cervix, but was cancer nonetheless. I just had a LAVH last week, and a softball sized fibroid was found (2nd one in 6yrs). My hubby is concerned and is afraid the 2 are related. I was diagnosed in Oct with HPV, which led to the discovery of Cervical cancer.

Since HPV is present, and my hubby can not be tested for HPV, can I contract another GYN cancer somewhere down the road? Should we have consulted with a GYN-Onc? Did I make the right choice??
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Unread 02-16-2008, 02:33 PM
Hysterectomy due to Cervical Cancer-No GYN Onc consult

Many women with CIS do not have a gyn/onc perform their surgery. My gyn did my surgery after a consult with the gyn/onc. Both felt completely comfortable with my gyn doing the surgery, and so did I. And in some areas of the country, a gyn/onc will only see a patient if they have true cancer--they won't even look at women with CIS.

You are at higher risk for developing vaginal and vulvar dysplasia/cancer than women who do not have HPV. Other gyn cancers do not have an HPV relationship. The chances of developing vaginal or vulvar dysplasia or cancer are small--cervical involvement is much more common than vaginal or vulvar. It is important to continue your annual PAP's though, and it's highly recommended that you do a monthly self-exam as well, to look for any changes on the vulvar surface. My gyn does an annual colposcopy to look for abnormal changes in the vagina or on the vulva. But remember, if caught early (like your cervical condition was caught early), these conditions are very easily treated. Early detection is the key!

Please don't use your energy second-guessing your decision to use a gyn for your surgery. As I said earlier, most women with CIS will use a gyn. If for any reason you would have a future PAP come back as abnormal, that might be the time to consult with a gyn/onc. It's not at all uncommon to get an occasional ASCUS PAP (atypical cells), but if you get a true abnormal PAP--that would be the time to ask for a referral.

Make sure to take good care of yourself. Eat well. Get plenty of sleep. Take a multivitamin. Don't smoke. Keep your stress low. Do yoga or pray/meditate. All of these things are believed to contribute to a stronger immune system which might help you fight your HPV infection. And remember, most women have had an HPV infection and don't know it. The majority of women eventually develop an immune response to keep HPV in a dormant state--the same will most likely happen for you.

Good luck! Wishing you a life's jouney filled with health, happiness, and peace!


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