Uterine cancer... what's involved?

Uterine cancer... what's involved?
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answer:First of all I am sorry to hear that you and your grandmother are going through this scary experience. The term “a lot of good tissue” regarding the uterus doesn’t really make a lot of sense to me and is of little use when it comes to staging uterine cancer. Fact is, if there is cancer in the uterus the whole thing is removed anyway so how much cancer is in there really moot. It is also of little diagnostic value when determining if the cancer has spread because it doesn’t have to reach a certain size or saturation point before the cancer cells can be shed elsewhere. If the cancer is completely contained in the uterus it is possible that hysterectomy will be all that is needed. During the surgery, the surgeon will send the uterus to pathology to be tested. Depending on what that pathology report says and what the surgeon observes in the abdominal cavity (they physically feel and look at all surrounding structures for any sign of cancerous growths) they will stop at the uterus and ovaries and possibly the cervix. If there is any sign of it having spread they will be removing any additional cancerous growths and possibly a portion of the abdominal fat and bowel. This degree of what is required surgically is how they “stage” the cancer. Anything outside of the uterus and she will need chemotherapy. Morbid obesity is a complicating factor in the mechanics of the surgery and also in the anesthesia. There are other things it can cause but those are the two major factors. Have they performed CA-125 testing? What are they basing their conviction that it is uterine cancer on? Unless they did some sort of biopsy of the uterus it isn’t possible to know for certain if a growth is cancerous or benign. Even CA-125 testing isn’t conclusive as other factors, including the simple fact that you haven’t gone through menopause yet, can elevate it’s numbers into the “alarming range”. I hope things go well for your grandmother and I’m glad she has you for support. Good luck.
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