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Skipping the gyn oncologist Skipping the gyn oncologist

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Unread 11-09-2002, 06:03 PM
Skipping the gyn oncologist

Hi everyone! I love this site!! It has been a lifesaver for me, and this is my first real post!! Usually everyone elses questions pertain to me as well. But now, I really need some input.

I have CIN III, had colpo, LEEP, and cone. My gyn is willing to have me see a gyn oncologist, and I wanted to go also. But after my consult appt with my reg gyn, I have changed my mind. He said that I have no cancer, my margins were clear, and that there was endocervical glandular involvement (which he explained to me that they are just a type of cervical cell, not an actual gland?) He feels confident that this was caught early enough, and even said it was okay to wait until after Xmas to have the TVH. Early enough, meaning that nothing has spread.

I told him that my case sounded pretty cut and dried, and that if I went to the oncologist, they would probably say the same thing as you. He said yes. So I decided to just accept my dr.'s advice, and scheduled for Jan 6. He is a very good doctor, and I trust him.

So....with my condition, is waiting until Jan okay? Dec 28 will be the 3 month mark since my cone. Do you all think I am doing the right thing? I would appreciate any and all responses!

Thank you in advance and I you all!

's to all the strong and brave women on this site!!
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Unread 11-09-2002, 07:14 PM
Skipping the gyn oncologist

Hi Lynniemarie,

My dr called me at the end of September and suggested the hyst. I asked if I could wait until after the holidays and he agreed. My surgery was booked for Jan 5th. My path report came back showing CIS (carcinoma in situ). My dr considered that as a pre-cancer, but some consider it a Stage 0 cancer. That did kind of freak me out since I had only heard CIN3 until then. I have no way of knowing if it would have been any different had I had my surgery right away. In any case, I did fine and thankfully my paps have been normal since.

It sounds like you feel pretty comfortable with your dr and the fact that he has no reservations about waiting until Jan. That's important.

Unread 11-09-2002, 08:00 PM
If it was me...........

I would still see the GYN/ONC if for nothing else than my peace of mind. They have been trained in dealing with cancer, and most gyns aren't. But this is only my opinoin.
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Unread 11-09-2002, 08:20 PM
Skipping the gyn oncologist

My gyn diagnosed my endo ca but I had a gyn/onc do the surgery. My reg. gyn is doing my follow up appts. The follow ups are pretty standard. I would talk to an onc/gyn surgeon since you have some time before your scheduled surgery...
Unread 11-10-2002, 01:09 PM
Skipping the gyn oncologist

I think that you have nothing to lose by consulting a gyn/onc. After your consultation you can decide to have your current gyn perform the surgery or have the gyn/onc do it or depending on the situation (eg, do they both have privileges at the hospital where your surgery will take place) both of them could be involved in the surgery. My reason for seeing a gyn/onc is that consultations and surgery for cancer are all they do, all day every day where gyns do consultations and surgery for cancer and lots of other things.
Unread 11-10-2002, 01:49 PM
Skipping the gyn oncologist


You asked a question that you should answer yourself.


I ( and this is just my opinion ) would go anyway, just to see what he says. If you feel comfortable with your regular gyne. than there should not be a doubt in your mind.

I hope you make the right decision regarding your question.

Unread 11-10-2002, 04:40 PM
Skipping the gyn oncologist

Well, the conclusions seem to be in...why not see an oncolgoist gynocologist just for plain old piece of mind... They are the specialist, They know what to look for and they really are the best. When i first felt a small bump by my belly button, my regular gynocologist, who delivered both of my boys and who i absolutely trusted, said that it did not sound gynocological and that i should see my regular family doctor. Boy was he embarassed when my family doc sent me for a cat scan and then directly to the oncologist gynocologist. My regular gyno could not look me straight in the face!! In fact my husband was sooo mad at him and really wanted to sue the pants off him. To make a long story short, i had an immediate hysterectomy and it tured out to be ovarian cancer, stage 3 but luckily caught in time.
Keep in touch as to what you decide. The decision really is yours.
Unread 11-10-2002, 05:18 PM
Skipping the gyn oncologist

Hi Lynnie!

I can certainly understand that given the choice it would be a hard decision to make. I think everyone has given some good opinions to your question.

I think if I was in your position, I'd base my decision in addition to trusting your regular Dr but also how I emotionally feel. If this is something that might cause you to worry unnecessarily in the meantime, you might want to go ahead with the consult.

This is a decision that only YOU can make and it has to be one that your comfortable with.

I wish you the best of luck on your decision and hope that you'll keep us updated on how things go. Sending lots of hugs and prayers your way.


Unread 11-10-2002, 05:26 PM
Skipping the gyn oncologist

Hi Lynnie!

Glad to hear that you have such a great gyn! Nonetheless, I'm going to jump on the pile and offer my vote in favor of seeing a gyn/onc. They see this kind of stuff a lot more since it's their specialty and it may give you even more peace of mind further down the road. Sounds like your gyn is wonderful though, you are a lucky gal!

Unread 11-10-2002, 06:05 PM
Skipping the gyn oncologist

I had my regular gyn do my surgery for what was thought to be cervical adenocarcinoma in situ. (precancer) I did go for a second opinion to a gyn oncologist who agreed with my regular gyn that a TVH was needed. When the pathology report came back from the hyster it turned out that I had stage 1a cancer. (i had not had a cone, just a leep) Anyway, I was glad that I had gone for the second opinion. If I had to do it again, I would have had the gyn oncologist do the surgery.

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