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Cholecystectomy and Oophrectomy at the same time???
Hi everyone,
As if getting breast cancer is not enough, I spend Sunday morning at the ER with what turned out to be a couple of gallstones. I'm now scheduled to have my gallbladder removed (cholecystectomy) laparoscopically on Thursday.
I had a consultation with the surgeon on Tuesday and he raised the possibility of performing an oophrectomy at the same time. He said he'd consult with my oncologist over the school winter break this past week and yesterday he left me a voice mail saying that she had agreed that it may be a good idea.
Now, I had discussed having an ooph with her before, and she told me that for my age range (I'm 39) it's still controversial whether having an ooph may help to keep the cancer at bay, especially in light of all the side effects in becoming menopausal 10 years earlier. I'm somewhat weakly ER+ (30%) and an intermediate metabolizer of Tamoxifen (per the CYP2D6 test) and I'm doing just fine on it (started taking Tamoxifen during rads in October).
So can anyone please help me with my decision, making a case for or against an ooph and backing it up with some data/references? And for those of you who've had one, can you please let me know how you felt after the surgery and how you're feeling now?
Thank you so much!!!
Marcia
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ER+ (30%)/PR-/HER-2+, stage 3
Diagnosed on 02/18/09 at 38 with a huge 12x10 cm tumor, after a 6 month delay. Told I was too young and had no risk factors. Found swollen node during breastfeeding.
March-August 09: neo-adjuvant chemo, part of a trial at Stanford (4 DD A/C, 4 Taxotere with daily Tykerb), loading dose of Herceptin
08/12/09 - bye bye boobies (bilateral mastectomy)
08/24/09 - path report shows 100 % success in breast tissue (no cancer there, yay!), 98 % success in lymphatic invasion, and even though 11/13 nodes were still positive, > 95 % of the tumor in them was killed. Hoping for the best!
September-October 09: rads with daily Xeloda
02/25/10 - Cholecystectomy
05/27/10 - Bone scan clear
06/14/10 - CT scan clear, ovarian cyst found
07/27/10 - Done with Herceptin!
02/15/11 - MVA-BN HER-2 vaccine trial
03/15/11 - First CA 15-3: 12.7 and normal, yay!
10/01/11 - Bone scan and CT scan clear, fatty liver found
now on Tamoxifen and Aspirin
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