Dear Jean
When I took the required seminar prior to genetic testing, the stats were that approximately 16% of bc survivors would get ovarian cancer. That's a pretty high statistic. Even though I ended up testing negative for BRCA 1 & 2, I got my ovaries (and tubes) removed (not the uterus) for a couple of reasons. The biggest was the ovarian cancer factor - however, unlike many, my dad's mother died of ovarian cancer (as did her sister. My mom and 2 of her sisters had bc). Second, when I got a scan of my female organs, my left ovary had 2 structures on it (one of which the ob-gyn said could be "troublesome") and lastly, I was deemed in menopause from chemo via LH FSH and estradiol and I was on Arimidex (which is what I wanted as the AI/Herceptin is a great combo) but about 3 weeks before the oophorectomy, I got my period back. So, I took nothing until the ovaries were removed.
My ob-gyn didn't want to removed my uterus for 2 reasons. The first was that tamoxifen gives bc survivors the most problems with their female organs. It suppresses bc but can activate endometrial/uterine cancers (this is a known side effect of Tamoxifen). He said that if postmenopausal (either natural or surgical) with an AI really reduces the estrogen so as not to drive the other cancers like tamoxifen does. The second reason is that since I was going to get the benefit of an AI and no tamoxifen, then recovery is a wiz (and it was).
So, that's what I did and why
PS - the two structures were what is called corpus hemophagic (2 follicles that wanted to ovulate and didn't so they collapsed on themselves and filled with blood. This probably happened during a chemo blast when my body said - "oh no, no more". But they looked funny on ultrasound and never went away so they ended up looking odder).
__________________
Kind regards
Becky
Found lump via BSE
Diagnosed 8/04 at age 45
1.9cm tumor, ER+PR-, Her2 3+(rt side)
2 micromets to sentinel node
Stage 2A
left 3mm DCIS - low grade ER+PR+Her2 neg
lumpectomies 9/7/04
4DD AC followed by 4 DD taxol
Used Leukine instead of Neulasta
35 rads on right side only
4/05 started Tamoxifen
Started Herceptin 4 months after last Taxol due to
trial results and 2005 ASCO meeting & recommendations
Oophorectomy 8/05
Started Arimidex 9/05
Finished Herceptin (16 months) 9/06
Arimidex Only
Prolia every 6 months for osteopenia
NED 18 years!
Said Christopher Robin to Pooh: "You must remember this: You're braver than you believe and stronger than you seem and smarter than you think"
|