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ulcerated tumor during hyst ulcerated tumor during hyst

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Unread 06-24-2003, 10:18 AM
ulcerated tumor during hyst

I was reading through my pathology report yesterday and found that the tumor may have possibily been cut while I was getting my hyst. this past January. I need to call the doctor b/c I may not be reading it correctly but, it says something like a "hemorragic, ulcerated mass....." I am very concerned and I guess i wanted to know what this means to me. I have heard this is NOT a good thing to have happen because the cancer can possibly spread. Is that true? Do doctors have the option to tell you that this happened? or is it required? Wouldn't the doctor have given me chemo if he cut into it by accident to prevent spread?

Thanks for any advice on this and sorry to ask so many questions.
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Unread 06-24-2003, 10:46 AM
ulcerated tumor during hyst

Dear Jus:

The description is of the tumor itself, not of what happened to it. Cancerous tissue can be very irregular and "friable", so that ulceration they found in the mass very likely occurred before the surgery, with some bleeding inside (cancer tissue also has its own blood supply).

Although this could have occurred during surgery, your report would seem to indicate otherwise. Take a look at your surgical report -- if the mass was ruptured in any way, that information would be found there. Also would be found any description of lymph nodes that were sampled, etc.

A call to your doctor would be in order, perhaps, but get that copy of the operative report first, as it may answer all the questions for you. Most surgeons don't remember the details of each surgery, so chances are that report is what the doctor would refer to in answering your questions!

I hope this helps ease your mind about the results of your surgery. Did the path report mention lymph nodes? That tells you a lot about how limited your cancer was.

Big s, and I hope you get all these lingering questions answered!

Unread 06-24-2003, 10:49 AM
ulcerated tumor during hyst

This is definitely something to discuss with your doctor. Certainly the goal during surgery is to remove any tumors without disrupting the tumor any more than necessary in order to prevent or minimize the chances of leaving any stray cancer cells behind. What makes you think the tumor may have been cut? The words you used in your post would be descriptors of the tumor itself--the tumor had some bloody, ulcerated qualities to it. The fact that it was hemorrhagic, does not mean that the blood was from the tumor being cut during surgery. But only your surgeon can qualify that for you.

Was your surgeon a gynecologic oncologist? Are you having regular follow-ups with a gyn/onc? They really are the experts when it comes to female cancers and they know all the current surgical and treatment techniques. If you have any questions about the treatment of your cancer, please consult with them.

Good luck! I hope you find that you have nothing to worry about.

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Unread 06-25-2003, 10:51 AM
Thanks for the info!

I learned that I lost a lot of blood during my operation and I agreed to blood transfusions (3 in all). I guess I have always questioned if something went wrong in the operation. That much blood loss can't be common. When I saw the report, it looked to I just saw "mass", "ulcerated" and "hemmoragic" all in one sentence and I think I was reading into it too far. I know the knicked my bladder so perhaps that's why i lost so much blood?

All lymph nodes came back clear so I have no follow up treatment. My doctor is a gyn/onc. But I do remember my first opinion gyn/onc. saying that he wanted to give me chemo to "shrink the tumor" as to minize the chance of it being cut during surgery. Well, I didn't go with that guy, I went with one that said he didn't need to shrink it.

Thanks again for the info!

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