Interesting news from Sloan/Kettering

Hi ladies. I just returned from Sloan-Kettering in NYC for my 3rd opinion. My 2 previous Doctors had strongly recommended radical abdominal hysterectomy for my adenocarcinoma of the cervix. The Dr. at Sloan is having pathology look at my cone biopsy slides to see if the cancer has spread to certain cells which have the ability to spread the cancer.

He said if that test was negative, he would recommend regular hysterectomy OR another cone biopsy. If positive, he recommends radical hysterectomy or trachelectomy. He disagreed with the Dr. who staged me at Ib because my tumor is measured at 2.5mm. He said I am at stage Ia (that could change when the pathology comes back in a week.

Has anyone with adenocarcinoma treated it with an additional cone biopsy? I would be interested in this so I could try to have another baby. Also, he says the hysterectomy can be done laproscopically if I wanted. Anyone opted for this?

Thanks for reading my long post! Hope everyone has a healthy new year! JILL SUE

Hi JillSue,

I am glad that the docs at MSKCC gave you so many options! That is excellent. I did not have a cone biopsy for adenocarcinoma, but it is definitely catching on as a potential treatment for this type of cancer, provided that you have very thorough follow-up appointments. In fact, I probably would've picked to have the cone instead of a trachelectomy if it hadn't been my 3rd cone biopsy in 2 years; in my case, the risk of recurrence was too high.

Let us know how it all works out, and best of luck to you! I hope you are able to just have a cone and be followed closely, it would be so much better.

Chicklet

I hope that the pathology news is good. The best pathologist for this is out of John's Hopkins. My original Leep slides said clear margins. My gyn sent them to Hopkins who correctly read them as not being clear. Perhaps you will have good news and the tumor will be smaller! Anyway, you went to the right place.

Denise - Can you give me the name of that pathologist? Thanks.

when I got my diagnosis and the dr. told me because mine was around 3 cm ( i think) there would be no point because it was to deep?