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modified radical hyst?? modified radical hyst??

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Unread 05-22-2003, 12:19 AM
modified radical hyst??

Hi everyone! I haven't been on for a while, but I have some questions that I hope someone can help me with. I have a surgery date of June 24th for a modified radical. I don't know exactly what that is. All of my questions will be answered when my oncologist gets back from vacation. I have an appt. on June 6, but it drives me crazy to wait. Since this whole cancer thing started it seems as though all I do is wait, so I guess I better get used to it.

I have not heard what stage my cancer (adenocarcinoma) is, but I do have copies of my labs and it states the depth of invasion is 3.5. Am I correct that if it is more than 3 it is stage 1A?

I had a LEEP on April 25th that came back positive. Then I had a cold knife cone on May 8th. It showed that the LEEP had removed the cancer, but showed residual adenocarcinoma in-situ. What is residual? I was not prepared for how bad I would feel after the cone. Alot of bleeding and lower back pain, is that normal?

I really like my gyn, but she isn't going to do my surgery as she only does simple hyst. is that the way most gyn docs do it?

Again, I want to thank every one who responded to my "acting normal" post. It helped having messages waiting for me. I have cut back to 4 days a week and I have someone I am training to do my job while I am out. She is very sympathetic to my inability to think and doesn't make me feel like a fool!! Now that I have an actual surgery date, I am starting to feel a little more normal.
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Unread 05-22-2003, 05:59 AM
modified radical hyst??

Hi, Jane!

I always like having all of my information right away. It's hard to wait 2 weeks for good information when Cancer is on the line. Remember though that any information you gather from the web should be double-checked with your doctor.

That being said, here is a link that may help with some of your questions on staging:

Cervical Cancer

I felt kind of puny and achy after my cone, but I was pretty much myself within 4 or 5 days. If you are having a lot of bleeding, please contact your doctor.

When cancer is involved, it is always in your best interest to have a specialist perform the surgery. A gynecologic oncologist is a specialist in the treatment of female cancers and they know all the current techniques to be sure that no cancer is missed, so that you have the best possible out come.

"Residual" means essentially "left over". I'm guessing (and again, check with your doctor) that when they did the LEEP they removed all of the invasive tumor, but perhaps they didn't take quite a wide enough sample and left behind some adenocarcinoma-in-situ (noninvasive cancer) that was then caught with the cone. And some women have "skip lesions" where you have a spot here and another one there and another one over there, so maybe you had some changes in another region of your cervix that wasn't taken out the first time around. The hysterectomy will remove all of the cervix, so if anything else is left behind, it will be caught this time!

Good luck as you are waiting for your appointment! Keep us posted on how you are feeling.
Unread 05-22-2003, 07:34 AM
modified radical hyst??

Hi, Jane,

I had a modified radical on April 17,2003 for invasive cervical cancer. The only thing different for than a radical was the Dr. did not have to scrape my bladder, every thing else went. I think everyones is differnt depending on what is affected. I had part of peridem(sp?) removed. Some people don't, best bet wait and see what your Doctor say's and look at the site Jeanine posted it has a lot of good Info.

By the way I am going on 5 weeks post-op and doing great. Best of luck and may God bless you.
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Unread 05-25-2003, 08:17 AM
radical hys

Hi Jane,
I am new at this website and am learning everyday! I just wanted to share my experience with you thus far. I had a radical hysterectomy on May 9---it was emergency surgery---I had no prior indication except that week I started having severe abdominal pain. Could not stand up straight. I had a 14cm tumor on my right ovary---that was cancerous. I was diagnosed with stage 1a ovarian cancer. What was supposed to be a 2 hr TAH turned into a 41/2 hour radical done by my gyno. They removed uterus, cervix, both ovaries, lymph nodes, upper part of vagina, and fatty tissue in stomach lining. (this is to see if the cancer had spread) The good news is that it was completely incap. in the tumor. I meet with the gyno/onc on June 2 and will find out then if I will be doing chemo, and I am also getting a second opinion from Dana Farber in Boston.

Some of the best advice I have received I will pass on to you. The night before my surgery a hyster sis recommended that I ask for anti-nauseau med. during surgery---alot of postings I noticed have mentioned the nauseau discomfort after. Because I asked for this, I did not have ANY naseau. Waiting for the gas to pass after surgery in the next day or two, I had a lot of stomach discomfort. I found walking in the hall way sure helped to get that gas moving compared to staying in bed. (I still chuckle when I think of tooting around the corriders at night---a sense of humor helps!) I drank alot of water---and still do---not an H2O consumer before, but I think this has helped. And also I took colace for stool softener and I am greatful for that as I have had no constipation---another posting that I have seen frequently. Of course, this is not prof. medical advice, but this is what has worked for me. I am having the night sweats now, which are tolerable. Sleeping with the fan on! If they don't get worse, I think I will be okay with them. Anyway, driving after 2 weeks. Have not been depressed. I really feel better than I anticipated that I would. A key thing for me is that I have also had a tremendous support system. I have put up greeting cards all over my house to remind me of that! Oh, one more thing. The second night in the hosp. I had an excruciating headache---but I am a coffee drinker and we believe that was due to not having any caffeine. After I had my coffee again....the headache subsided.

Keep me posted. May God Bless.....and I wish you the best! Will keep you in my prayers.

Unread 05-27-2003, 09:10 PM
modified radical hyst??

The ladies here have given you good information. It is great that the cancer was caught at an early stage. Your prognosis is excellent. Hang in there.

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