Cancer: My Mind Is Totally Blank – an email from a pharmacist
Good afternoon Dr Chris…I wish u can spend time to read my email…I appreciate it very much…my mind is totally blank n dunno what to do…if there is a hope I’ll try…I hope this email can reach to you
I’m 26 years old lady who is also a cancer patient. In October 2004, I had dysmenorrhea and heavy flow for a month. I proceeded to see dr and thru the ultrasound scan, I was being detected with fibroids. I proceeded to operation to remove fibroids on December 2004. However, the histopathology had shown that I was having low grade endometrial stroma sarcoma. Dr started me on hormonal therapy for 6 months but it did not really help. In July 2005, I undergone a hysterectomy but my ovaries still remain. Since then, dr did not call for follow up then.
In August 2011, I accidentally detected a mass (2×3 cm) on lower lobe lung thru chest x ray during medical examination. Further investigation by CT scan for abdominal and pelvis, found that there was another mass of 6.1cm in the right pelvic area and I also had right iliac vein thrombosis about 1cm. All of these happened without any symptoms.
Recently, on 18 October, I underwent an operation of my lung. Dr initially planned to remove tumor only but at theend still removed my left lower lobe lung. The histopathology shown the result same as last time of stroma sarcoma with low cell division activity.
Recently I was referred back to O&G clinic for further treatment. They planned to do IVC umbrella insertion along with clexane administration and then doing operation to remove the tumour in pelvic area along with ovaries. After operation, they yet plan to start chemotherapy for 6 cycles with 3 weeks intervals. I also understood if ovaries are being removed for the age like me I need to take hormonal therapy for life.
I myself is involved in medical field (a pharmacist). I understood those procedures and also the side effects of chemotherapy. If can I dun wish to go for that. But I totally cannot accept or want to remove the ovaries and take hormonal substitution yet. Dr cannot guarantee this way disease won’t relapse. Furthermore, I still wish to preserve ovaries for chances to do in-vitro though it is difficult but at least there is a hope. Currently, both my ovaries are still normal and wasted to remove. I totally cannot accept for removal women’s properties as I had lost once for uterus. I wish to remain ovaries though there is risky for future. However, this one I wish to leave it for myself to deal btw myself n the God. I wish to bet my life once again for alternative though is risky for not removing ovaries. Dr said those tumour grow due to the hormone.
I would like to seek for your opinions and hopefully Dr Chris can reply me as soon as possible. Ur effort is very much appreciated. Thank you for reading.
Reply: Where are you from? You need to come and see me, but only after 24 Nov because I am now in Laos.