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Cone Biopsy Results Cone Biopsy Results

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Unread 12-26-2002, 03:16 PM
Cone Biopsy Results

I had a cone biopsy and D&C done Friday morning. Today Thursday morning) my OBGYN called with the results. Cervical CIS the margins were clear. Apparently, all abnormal cells are gone.
Now I have some decisions to make. He said that he would recommend a simple hysterectomy due to the risk of reoccurance. I AGREE. I asked about staging and he said not to consider it cancer because it was so early CIS that it is not staged as cancer? This confuses me a little, is it the big C or not?
Anyway, he suggested keeping my ovaries due to my age (35). I am not sure I want to do this. My mother started going through menopause at approx 40 and it was a rough few years getting through it. After it was all done, (approx age 47) she was fine and has never taken HRT.
So I would like some feed back. OVARIES, to keep or not to keep? THAT IS THE QUESTION. I have read about complications with keeping them as well as having them removed. Also, the little hypochondriac in me will probably worry about ovarian cancer?
Sorry to go on and on, just looking for feedback.
Thank You All.
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Unread 12-26-2002, 03:47 PM
Cone Biopsy Results

s Kathy

Great news!!! You must be so relieved.
Now it is time for you to research the ovary issue. There have been many threads about this on HS. Some ladies are glad they kept their ovaries and others have had regrets.
Since this was never a decision for me, I'll leave it to the others to share their feelings with you.
Keep in touch.

Unread 12-26-2002, 03:51 PM
Cone Biopsy Results

Congratulations, Kathy!

Clear margins--that is really good news!

Most docs seem to agree that CIS is NOT cancer. Some do stage it as Stage 0 meaning that it hasn't gone anywhere or invaded anything. It only involves the "skin" of the cervix and until it breaks through the basement membrane and starts invading cervical tissue, well, it's just not "real" cancer.

As far as your ovaries, well, you'll find a lot of information on pre-op about this. I kept my ovaries (I was 37), and am happy that I was able to do so. I've had nearly 2 years now with my own hormones, and I feel like I always did. If you decide to have them removed, remember that you will be thrown instantly into menopause. Some ladies get on HRT right away and have no problems, some try to do it without HRT or are not permitted HRT. But all of us, at some point or another, will face menopause either surgically-induced or naturally as our ovaries start gradually to produce less hormone. If you leave your ovaries in, you are at risk for ovarian cancer the same as any other woman who still has her ovaries. You are at no greater risk to develop it just because of your CIS. And having your ovaries removed is not a sure-fire way to avoid ovarian cancer, but it certainly reduces your risk.

Good luck with your decisions, Kathy! Let us know what you decide to do, and when you're going to do it!

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Unread 12-26-2002, 04:31 PM
Cone Biopsy Results

Hi Kathy

I'm adding my congratulations on the cone results! There's always confusion about whether or not CIS is a cancer or not. As Jeanine said the fact that it's not invasive means it's treated in the same manner as a pre-cancer and usually requires no further treatment after the hyst.

I didn't have to make the decision about the ovaries because I was already post menopausal. You might want to visit the Hormone Jungle and the Desert here to see what issue the ladies are facing.

Good luck!
Unread 12-26-2002, 04:52 PM
Cone Biopsy Results

Congratulations! I had a TVH at 35 and kept my ovaries. With all of the news about HRT, it's better if you don't have to deal with it.
Unread 12-26-2002, 05:33 PM
Cone Biopsy Results

Great news about your clear margins. I don't know much but...I've seen people (aunt, close friends, etc.) have bad reactions when they went on hormones. Your Dr. will have the best info. but I say "if it ain't broke, don't fix it". JillSue
Unread 12-26-2002, 07:02 PM
Cone Biopsy Results

Hi Kathy:

I'm having a TVH on Jan 8 for the same dx & my doc's intentions are to leave my ovaries, which I agree with (I'm 40)... she said that I can still benefit from my own hormones for years to come, which most of the ladies that have already gone thru this, seem to agree as well! During surgery she also said she would really check em out just incase! So, if she does see or feel anything suspicious, she won't take any chances. I'm sure your doc will do the same, if they look & feel healthy, seems like the general consensus is to leave em in, unless you have a family history of ovarian cancer.

It really helps to read about everyone's experiences here & then weigh everything out with your doc. Best of luck to you & keep us updated with your situation...

Unread 12-29-2002, 09:55 AM
Cone Biopsy Results

Thank you all for your concern and replies. I am scheduled for my follow-up from my biopsy on 1/6/03. I plan to ask my Dr. many questions and ask him to refer me to a gyno/onco. I need to make decisions rather quickly because I am trying to schedule surgery for the first week in Feb. (Our business is slow this time of year- so now is as good a time as any.)
I will keep you posted.
Thanks again and have a Happy HEALTHY New Year!

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