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OB/GYN surgeon cannot remove cancerous cervix? OB/GYN surgeon cannot remove cancerous cervix?

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Unread 06-04-2004, 03:43 PM
OB/GYN surgeon cannot remove cancerous cervix?

Saw my OB/GYN doctor today and my trip to the castle is June 9. She informed me that she would perform a cold knife cone on my cervix (precancerous) but if the patholgy came back invasive cancer she would stop the surgery and send me home. I would then have to make an appt. with a cancer specialist who would perform the hysterectomy. I thought it would all be done at once but obviously not. Didn't know OB/GYN surgeons couldn't touch cancer. Hopefully all will be well and it will all be done at once.Tonight I'll look over all my pre-op lists I got from this site and start packing my bag. Again, thanks to everyone for all the advice and insight.
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Unread 06-04-2004, 04:15 PM
OB/GYN surgeon cannot remove cancerous cervix?

Dear Huskergal,

I'm really sorry to hear about your predicament. I can't offer any advice as I have no knowledge of what you're experiencing but I hope one of the sisters can respond favourably to your post.

Thinking of you.
Unread 06-04-2004, 05:14 PM
cancer surgery

I also know of someone who had to go out of state to have a cancerous tumor removed as the gyn. apparently said it should be a gyn who deals with cancer treatment. In anycase all went well and she is doing just fine. best to you
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Unread 06-04-2004, 05:20 PM
OB/GYN surgeon cannot remove cancerous cervix?

You really DO want a GYN-oncologist if any cancer is found; they are the experts in surgical responses to women's cancers, and would be able to do the pelvic washings, lymph node samplings, etc. that a cancer diagnosis would require.

Does your doctor have an oncologist he works with regularly? Any chance of meeting that surgeon, or finding out if they can be there for backup on your surgery day? Even if it means postponing surgery for a bit (it did for me) it can make a huge difference in your final outcome.

I suggest you post about this, as well, over in Cancer Concerns. The ladies over there have been through it, and you'll get much more informed answers from the wonderful sisters in that forum!

Good luck with your surgery. Mine, too, was for potential cancer (thinking ovarian late-stage, since my mass was so big), and the waiting is very difficult. Keeping busy (as it appears you are doing) and living each day as it comes are very soothing, and help the time go a bit faster!

Unread 06-04-2004, 05:58 PM
OB/GYN surgeon cannot remove cancerous cervix?

I went through the same testing prior to surgery as both pap and biopsy came back pre cancer..My GYN told me if it had come back with positive cancer cells, my date would be moved so He/ we could work with an oncologist.
Due to the fact that cervical cancer speads latterally and if cut incorrectly could spread rapidly. He said that other pre-causions would have to be taken and both he and the oncologist would be there to insure my safety. And that is his reasoning for the delay.
I was very upset at first because I wanted it out right then. Crap last week! But after I got home and talked with DBF I realised my doctor was looking out for my best interest.
I wish you the very best and will keep you in my prayers
Unread 06-04-2004, 06:08 PM
OB/GYN surgeon cannot remove cancerous cervix?

I had cervical cancer and a radical hysterectomy on 2/23/04. A radical hysterectomy is the removal of lymph nodes, tissue surrounding the cervix and uterus, removal of the cervix, uterus and part of the vagina. Also with most radical hysterectomies, you will have a suprapubic catheter. This comes out of your pubic area. I had one for 3 weeks and it was not fun. I had a cone biopsy done 3 days before the hysterectomy. I had stage 1B grade 3 cancer.

Your OB/GYN is right you do need to go see a gynecological oncologist. They are the experts when it comes to cancer. I live in Cincinnati and there are only 6 of these types of drs. in the area. They are hard to find so your OB/GYN may need to refer you to one.

What exactly does she mean when she said that she would perform a cold knife cone on your cervix (precancerous) but if the patholgy came back invasive cancer she would stop the surgery and send you home. Was she planning on doing the cone and a hysterectomy at the same time because they usually only do the cone which takes about 30 minutes. You are put under for this though. It really wasn't bad.

My dr. told me that when she removed the lymph nodes and tested them if they had come back malignant then she would have had to sew me back up and I would have had to have radiation and then the hysterectomy. They like to keep the female organs to protect the bladder, kidneys, etc. during the radiation.

I found out I had cancer and 14 days later I had the surgery. I am only 35 but at least I was blessed with one beautiful 7 year old boy.

Good luck to you and if you have any questions, please email me.

Radical Hysterectomy Stage 1B Cervical Cancer 2/23/04
Unread 06-04-2004, 09:27 PM
OB/GYN surgeon cannot remove cancerous cervix?

I want to strongly second Audrey's advice to please have a gyn/onc doing your surgery or at the very least standing by to take over if necessary. I hope all goes well for you and it truns out the specialist was not needed, but better safe than sorry.
Unread 06-05-2004, 06:23 AM
OB/GYN surgeon cannot remove cancerous cervix?

In December of 2002 my colposcopy came back with medium to high level dyslplasia. My ob/gyn set a date for a cone and DNC on Jan 2003. He told me that during surgery they would be having pathology on standby and that if there was any unusual that he might go ahead and do a hysterectomy then. My family has a history of fibroids and my insides were a little messed up from my Mom being given DES while she was pregnant with me.

Upon waking up the doctor told me that pathology had looked over 12 samples and on the 12th found evidence of cancer. My doctor referred me to an oncologist and 12 days later they did a radical hysterectomy together and also took out 12 large fibroids and actually found out they had took out a 2nd microsopic spot on my vagina that they could not tell was there.

My doctor was suprised that this was invasive cancer because I had never had a bad pap and it had been less than a year since my last pap. He in no way expected to find cancer are otherwise he would have referred me to an oncologist first.

As everyone has said when it is cancer an oncologist is the best person to have and I was glad that I ended up having an oncologist be the primary and my ob/gyn who I have seen for the last 15 years be there assisting. If there is any suspicion ahead of time that you may have cancer it is best to see an oncologist from the beginning.

Best of luck to you!!
Unread 06-05-2004, 07:31 AM
OB/GYN surgeon cannot remove cancerous cervix?

Hi Husk...

Why not start with the specialist right from the beginning and stop fooling around.

I have said this before and will say it again. My doctor told me straight from the start that if there is the slightest chance that cancer may be present, you want the experts to do it right the first time. Any surgeon can perform a hysterectomy or surgery but only an oncologist/gynocologist knows exactly what to look for when it comes to us.

Maybe an appointment with an oncologist/gynocologist is just the right thing for a second opinion for you.

Hope all goes well.
Unread 06-05-2004, 02:22 PM
You want a gyn/onc doing cancer surgery

They are the real experts at dealing with all kinds of gynecologic cancer. Better to have one than have an ob/gyn do it if there is any hint of spread. Sadly, I learned far too late of the experts, even though I live in a city with them... If you must have more surgery, it really should be from the best you can find--a gyn/onc.

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