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What Does My Lab Test Report Indicate?

Posted on Tue, 28 Jun 2016

Question: Ovarian Cancer Stage 4 diagnosed in 1st week of February. She has undergone 4 cycles of chemotherapy since then. The last chemotherapy session was on 16th April. She has undergone debulking surgery on 14th May. The ovaries, uterus, omentum, fallopian tube, cervix and lymph nodes.

Could you please analyse the attached reports for the biopsy of the organs removed? I would like to know if there are chances of recurrence post the surgery based on this report.

Answered by Dr. Deepti Verma (17 minutes later)

Brief Answer:
Chances of recurrence are there

Detailed Answer:
Hi dear,
I have gone through your question and understand your concerns.
I have reviewed the histopathological report.
Since this report mentions two para aortic nodes positive for metastasis, therefore chances of spread and recurrence are there.
She should receive further chemotherapy to reduce the chances of recurrence.
Hope you found the answer helpful.
Regards
Dr Deepti Verma
OBGYN

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (7 hours later)

Thanks.

Could you please also clarify if the spread is possible through the lymphatic system or does it spread around the infected nodes only.

Also, the report mentions some tumor cells. Is that a cause for concern? Can there be tumors elsewhere due to the ones detected?

Given the details mentioned in the report, would it be prudent to go for a PET CT Scan now. We havent done this scan before. The doctor has relied only on CT scans for the treatment.

Please advice.

Answered by Dr. Deepti Verma (7 hours later)

Brief Answer:
Spread through lymphatic system

Detailed Answer:
Hi dear,
Spread is through lymph system, and it can spread to other nodes and organs.
Tumour cells are present in the ovarian cancer.
There is nothing to worry.
PET scan should be done to assess the spread of
cancer, so that further management can be decided.
Regards
Dr Deepti Verma

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Deepti Verma (3 hours later)

Is chemotherapy effective in the lymph nodes if its infected with cancer? What other ways are available to treat the lymph node infection?

Answered by Dr. Deepti Verma (18 hours later)

Brief Answer:
Only way is chemotherapy

Detailed Answer:
Hi dear, the only way to remove the lymph node affection with cancerous cells is chemotherapy.
Regards
Dr Deepti Verma

Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar