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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Stage IV Fallopian Cancer. Done Chemotherapy. Scan Shows Vaginal Cuff, Rectal Wall. What Could This Mean?

I have been battling stage IV Fallopian cancer for 2 1/2 yrs. The cancer recurred 7 months after initial 18 weeks of chemo. I have been undergoing various chemo treatments ever since ( 15 months). My most recent scan showed nodes in the vaginal cuff, anterior rectal wall had enhanced from 4 mm to 6 mm. Hot spots still showing on colon, as well. What could this mean?
Tue, 29 Oct 2013
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General Surgeon 's  Response
Hi and welcome to HCM. thanks for the query.
These findings are nonspecific and usually this is just infalmmatory reaction of lymph nodes, but it can sometimes indicate new recurence of malignant disease so furthe tests are required. You should do PET CT SCAN to see is there some metastases and then new chemoth or radioth can be started or surgery can be considered.
Wish you good health. Regards
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Have Stage IV Fallopian Cancer. Done Chemotherapy. Scan Shows Vaginal Cuff, Rectal Wall. What Could This Mean?

Hi and welcome to HCM. thanks for the query. These findings are nonspecific and usually this is just infalmmatory reaction of lymph nodes, but it can sometimes indicate new recurence of malignant disease so furthe tests are required. You should do PET CT SCAN to see is there some metastases and then new chemoth or radioth can be started or surgery can be considered. Wish you good health. Regards