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stages and grades? stages and grades?

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Unread 03-12-2003, 09:25 AM
stages and grades?

I just came back from meeting the oncologist, who also gave me
the pathologist report. I had TAH - BOS for endometrial carcinoma. He said: lymph nodes clear (good) the cancer was poorly differentiated (bad) less then 50% into the lining (good) but there was vascular involvment (bad) also, they found it had spread to the ovaries (which we didn't see in CT or in the surgery). The report said grade 3, and when my husband pushed to be told stage and grade, he said IIIa.

Looking at the list of diagnosis, I don't see anyone with stage III. Is it time to panic or what?

I will be having 5 weeks of external radiation, starting a few weeks down the road.

Would love to hear from anyone who knows more about this that I do.

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Unread 03-12-2003, 10:58 AM
stages and grades?


The web is full of statistics about cancer - but your own doctor is the best source of information about YOU! As you said yourself - you have a mixed bag of factors - some good and some bad.

I don't know anyone here who has had stage 3 endometrial cancer - but there are plenty of ladies here with stage 3 ovarian cancer and I'm sure they'll be by shortly

Unread 03-12-2003, 11:56 AM
stages and grades?

Although your cancer is more advanced than mine (mine is stage 2A) it's not time to panic. It's good that the lymph nodes are clear and that the tumor did not invade more than 50% of the muscle wall. The treatment is pretty similar for stages II and III; TAH and BSO plus radiation. I have found a few web pages that may help answer some of your questions:

The last one has stories from people that have been diagnosed with all types and stages of gynecological cancers.

Try not to get too worried about the upcoming radiation, it really isn't that bad. Side-effects like diarrhea and bladder irritability can be controlled with medications. Be sure to get plenty of rest and you'll do fine.

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Unread 03-12-2003, 01:51 PM
stages and grades?

I am sorry your stage was higher than you expected. There is a member of hystersisters that was posting about the time of my hyst in July 2002. She had a stage IIIC poorly differienciated tumor. Her member name is Teacher2. I havent seen any posts from her in awhile. If I am remembering correctly she was just finishing up her radiation treatments in the summer....I think her email address is included in her profile. I hope this helps.
Unread 03-12-2003, 09:20 PM
stages and grades?


Welcome! I don't have any personal experience with endometrial but do have quite a bit with ovarian. Try not to let the stage "stats" get to you, there's alot of scary information out there and alot of it is pretty outdated. There's many of us around here who were diagnosed at a stage 3, and yeap, it sure can make you panic but it CAN be beat.

Chris has a great memory, Teacher2 did in fact have a really similiar situation, even with ovarian involvement as well.

Here's a link to one of her posts...

I hope you'll be able to find as much information as possible to help. There's alot of different links posted on a thread near the top of this forum, you might also want to check some of those out.

Hang in there! We'll be sending lots of positive thoughts your way.


Unread 03-13-2003, 01:10 AM
stages and grades?

Thanks for the replies! I feel a bit more hopeful today altogether.

some more questions: How do they decide what treatment to give? I will be having external radiation. Doc says internal is only used if the tumour was near the cervix, and mine was "at the other end of the uterus". How come I see that some woman have had chemo for this type of cancer? I thought only radiation was needed? What is the difference in how these treatments work?

Unread 03-13-2003, 09:24 AM
stages and grades?

Treatment decisions are very complex and have to be individualized. There are a set of clinical guidelines called "PDQ" that NCI puts out for each type of cancer. There is a physician version and a patient version. If you google on "endometrial cancer pdq" it will come up. Here it is:

Here is a medline link with resources on endometrial cancer

and here is one from the American Cancer Society

These represent the standard starting place, but from there, your treatment will need to be customized. It isn't at all unusual to have all these questions after the doctor visit.

I would start a list of questions and then call and schedule another consultation with your oncologist.

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