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Re: Carco in-situFrom: Adrienne (anonymous@obgyn.net)Wed, 18 Mar 1998 11:41:36 -0600 (CST)
At Wed, 18 Mar 1998, Joel wrote: > >>Hello, >> >>I have recently been through the series of biopspys that revealed and >>curativey removed the carcinoma in-situ on my cervix. A cold knife cone >>was the last proceedure that has given me clear margins. I have been >>told (again) that I should have a hysterectomy. I am well informed, but >>I can't seem to get past the fact that I am now clear and that I may >>never have to deal with this agian. However I've been told that due to >>the rapid growth of the carco, if I did have to deal with it again it >>could be severe. I have talked to many women who've had hysterectomies, >>still it just doesn't seem like the right answer for me. I haven't >>talked to ANYONE who chose NOT to have a hysterectomy, after being >>advised by 2 doctors and a pathologist that this was the best course of >>action. But if the cone is 90% currative, it seems I have a pretty good >>chance of not dealing with it again. AND won't dysplasia show up on the >>pap that I'll be having every 4 months. Could I receive comment? And is >>there a recourse of women who have chosen NOT to have the hysterectomy? >>Thank you for your time. >> >>-- >>adrienne > >If they propose you to have an hysterectomy, it's probably because the cone >didn't remove the whole lesion of in situ.. If the cone is not 100 % >curative, the in situ will tranform itself in invsive lesion, and after, >the surgery will be largest and you'll be a candidate to radiotherapy.. >Just choose... > >-- >Joel Kompanietz, M.D. CNGOF, >OBGYN.net International Representative, France >Mazamet, France > >http://www.obgyn.net/country/i-bios/joelk.htm >http://www.obgyn.net/women/advisors/jkompanietz.htm > >=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=->*Note: Opinions expressed here are for educational purpose only. >This information is not intended to supplant the need for you to >consult with your physician prior to choosing therapeutic options. > Dear Dr. Kompanietz, The lesion WAS removed as was confirmed by the pathologist. The margins are clear. The reason my doctor is urging a hysterectomy is for preventative reasons, should the carco or dysplasia come back. My concern is the danger of it coming back to an area that can't be detected. But chances of that seem slim since I'll be gettting Paps every 3 months. My doctor reminds me that Paps can be false-negative and false-positive. And should the trasition zone be high up in the canal a Pap won't detect it. But I'm wondering how miniscule these chances are. It's seems very conservative to consider a false negative pap reading, however, I guess all chance must be considered. I am 34 and have had 3 children. But I don't welcome the risks of surgery and the repercussions of a hysterectomy. When it comes right dowm to it though, isn't it all odds? There's a chance I could also get vaginal cancer, with or without my uterus. I guess I'm just trying to decide on the best odds. And right now with the CONE being 90% curative, it seems I could very well go the rest of my life with no further problems. Please comment, it is very appreciated. Thank you.
-- adrienne
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