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Topic: Benefits of complete hyster?

Forum: Older Than 60 Years Old With Breast Cancer —

Meet other women who are similar in age and dealing with age-appropriate issues.

Posted on: Apr 14, 2009 02:35PM

mzmiller99 wrote:

Hi, sisters - I have my yearly check up with bs on Thursday.  Last year, during tx, she mentioned having my ovaries out this summer, Which I was all for, since ovarian cancer has been a huge fear for me. 

 Lately, I've had spotting - trans-vaginal ultrasound showed fibroids.  Something new for me. 

 So, what I'm wondering is, should I push to have the whole mess out? I know it's surgery and there are risks, but are there any reasons I should want to keep all my parts?

Are there any percentages for gyno-type cancer after bc?

Have anyone had their female equipment out after tx for bc?

Hope someone can help.

Susan IMRT 09/08, Oncotype DX 15, Aromasin 03/09 Dx 6/16/2008, IDC, <1cm, Stage I, Grade 3, 0/1 nodes, ER+/PR+, HER2-
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Apr 14, 2009 03:32PM jpann39 wrote:

Yep , I certainly did at 46 yrs old due to the fact that the tumor I had was 95% er positive..not one of my doctors blinked an eye at having a complete hysterectomy for that sole reason...I never had any other issues with the female organs but was told by my gyn after my hysterectomy that I had made a good decision to do the complete as both ovaries and uterus were covered with cysts that we never knew about....of course they tested everything and it all (thankfully) came back b-9 but he said he felt that I was a ticking bomb just waiting to go off.

I feel it is really your choice but I dont see a reason to keep those parts if they are no longer needed and potentially could cause issues down the road.

Best wishes

Jule

'Gain strength by the positive and don't be sapped by the negative" Dx 11/4/2006, IDC, 2cm, Stage II, Grade 1, 0/9 nodes, ER+/PR+, HER2-
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Apr 14, 2009 04:02PM susan_CNY wrote:

I had hysterectomy at 32, kept ovaries. At 52 after being dx with bc I questioned removing them, but onco felt unneccesary since I had already been through natural menopause at 45 and ovaries were checked by ultrasound  the previous year (when gyno felt my protruding colon tumor and was unsure what it was.) Sorry you are in this predicament, I agree with get anything not needed out. Feel better soon. You sound very stressed, hugs Smile

dx 4/1984 cervical /hyst 10/2002 stage 2 colon /hemi-colectomy/5FU and Leukovorin chemo 11/2003 stage 1 bc tumor 1.6 grade 3 no nodes, possible vascular invasion / lumpectomy and rads 7/2009 lumpectomy found to be benign
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Apr 14, 2009 05:04PM swimangel72 wrote:

Susan the spotting is a worry - are you postmenopausal? Much depends on your age. I went through the same difficult decision process a couple of months ago. I got it in my head that I needed a TAH and OOPH because of a fibroid that's been there for years, a thickened endometrium and small non-symptomatic cysts on my ovaries. I wrote a letter to a gynecologic oncologist my general surgeon recommended,  explaining to him how I am a breast cancer patient and at the age of 54 think it would be beneficial to remove these "useless" organs especially since I need to undergo opened abdominal surgery anyway in July (to repair my hernia and remove my gall bladder.) The gyno-onc was totally against it - saying he only believes in "evidenced-based medicine" and the studies show that I wasn't at any more risk of getting gynecologic cancer than the normal population of women. I disagreed with him - and arm-wrestled with him for about a month - he went so far as to giving me an endometrial biopsy (which was normal) but still I was insisting on this surgery. I only changed my mind about a month ago when a doctor-friend told me I would be at an increased risk for infection considering the length of such a surgery. My 7 hour mx and free-tram already resulted in a MRSA staph infection in my abdomen, so I decided against the hysterectomy and ooph and will just get the surgery that must be done.

I am so very afraid of getting endometrial or ovarian cancer because these are hard to test for...........at least Pap smears can test for cervical cancer. However, now I am second-guessing myself again  because a woman I work with has just been dx'd with Stage 3 endometrial cancer. She was the picture of health - 54 years old, post-menopausal like me, never any problems, when she suddenly started spotting. Her pap smear just 6 months ago was fine. She just had all her organs removed laproscopically (and she's doing well) but now she must endure very heavy-duty chemo and rads. My heart is aching for her (she's a good friend) - and it makes me worry even more that maybe I should go through with this surgery!

I hope you're getting good advice from your doctors - it's such a difficult decision. Good luck and let us know what you decide to do!

3/3/08 Right-side mastectomy with immediate muscle-sparing free tram; 3/9/08 Developed abdominal MRSA staph infection and hernia;Completed 4 months Navelbine and 1 year Herceptin; Arimidex - 3 more years! Diagnosed at age 53 Dx 2/5/2008, IDC, Right, <1cm, Stage IB, Grade 1, 0/7 nodes, ER+/PR+, HER2+ (FISH)
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Apr 14, 2009 06:01PM mzmiller99 wrote:

Susan, Swim, and Jule - Thank you for your responses. 

 Since I'm 62, my parts have been useless for many years. 

 And, while I don't relish the thought of more surgery, I'm leaning in that direction, unless Dr. P. can convince me otherwise.

(I wonder if the recovery time is as long with the laproscopic surgery as with the traditional?)

Susan IMRT 09/08, Oncotype DX 15, Aromasin 03/09 Dx 6/16/2008, IDC, <1cm, Stage I, Grade 3, 0/1 nodes, ER+/PR+, HER2-
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Apr 15, 2009 07:23AM jpann39 wrote:

Mzmiller

Mine was laproscopic and my recovery time was supposedly a month to 6 wks....I went back to work full time at 2 1/2 weeks but felt that I could have gone back a week or so later..I obviously was blessed with no difficulties, but everyone is different.

Im very active and other wise healthy so I think that helped alot.

Good luck with your decision making.

Jule

'Gain strength by the positive and don't be sapped by the negative" Dx 11/4/2006, IDC, 2cm, Stage II, Grade 1, 0/9 nodes, ER+/PR+, HER2-

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