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Possible cell changes after treatment

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blueskiesinside...
Possible cell changes after treatment

I'm NED currently after 1b1 adenocarcinoma treated with multiple LLETZs and pelvic lymph node removal. I had my 1 year colposcopy a few weeks ago, and they ended up taking a punch biopsy. My smear came back negative and my MRI also shows no signs of cancer.

The letter from my oncologist said "there are some potential really early changes" found on the biopsy. I'm really trying not to think the worst about this (I asked my oncologist a few appointments ago what would happen if I ever had cell changes and he said they would recommend a hysterectomy) but I am scared. The letter explained they will discuss me at their next MDT meeting.

Has anyone else had similar results post treatment? What has the follow up been like? Hope everyone is keeping ok in these difficult times x

Aug 2019 - referred for colposcopy following routine smear

Sept 2019 - LLETZ biopsy showed CGIN high grade abnormal cell changes

Oct 2019 - Diagnosed with cervical cancer (adenocarcinoma) aged 31 ?1a1 but unclear margins

Nov 19 - MRI and 2x further LLETZ biopsies to guide treatment, re-staged as 1b1

Dec 2019 - Pelvic lymphadenectomy

Dec 2019 - Lymph nodes clear - no further treatment required at present; ongoing 3 monthly monitoring. Strongly recommended to have hysterectomy in coming years due to CC and BRCA1 mutation 

Jan 2020 - diagnosed with lymphoedema to left groin

xRay
xRay's picture

Hi! Stage 1B1 is not bad, but there is a risk of missing the process of malignancy progression. It's not a microcarcinoma anymore. There are different studies on the types of treatment for this stage. Opinions differ. Someone believes that at this stage of adenocarcinoma, a radical trachelectomy is needed, and not excision. Another school of oncologists says that at stage 1b, a radical hysterectomy is needed from the point of view of oncological safety. In Russia, young and nulliparous people are given a trachectomy, and after the realization of the childbearing function, a hysterectomy is performed.

There is evidence that the body can suppress cancer cells. If the body has already failed to cope with cancer once, then the risks remain high after minimal surgeny.

https://cyberleninka.ru/article/n/mikroinvazivnyy-rak-sheyki-matki

 

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Moving forward from a cancer diagnosis