Uterine cancer after treatment

  • 1 reply
  • 34 subscribers
  • 275 views

I had a total hysterectomy robotically with everything removed vaginally, 4 weeks ago. The surgeon told me he had removed everything intact and saw nothing elsewhere. He had previously told me and written to my gp that I shouldn’t need any more treatment. I am healing well and was so happy that I have a second chance of life. 
imagine my horror when I had a phone call from the hospital last week saying they were pleased to invite me to an appointment to talk about having radiation to my tubes and ovaries! I said they had been removed and that I had been told my cancer had been contained and removed in my uterus and my tubes and ovaries had been removed at the same time. She seemed confused and cut the call short. I was terrified! Did this mean it had spread in the 6 months I had been waiting for treatment? Was the surgeon wrong? Once I had calmed a bit I phoned to talk to the surgeon, who is always unavailable, got a gynaecological nurse who couldn’t understand why I had the call but suggested I went to the meeting offered just to find out. The radiologist specialist told me the surgeon couldn’t have removed everything vaginally and i must have been sent to her because as it had been cut up to remove through keyhole surgery as they don’t remove vaginally using keyhole and I could have 3 brachytherapy treatments as a back up plan. The side effects of this treatment scare me, vaginal stenosis, having to use a dilator for life to name a couple especially if I don’t really need it in the first place! I can’t seem to get any clear answers from anyone and have no one I can talk. Can anyone here help? 

  • Hello Bluebellina

    Thank you for getting in touch with us.

    My name is Joanne and I’m one of the Cancer Information Nurses on the Macmillan Support Line.

    I can see that you’ve joined our Womb cancer forum and Ovarian Cancer forum. I hope you are finding them a useful source of support.

    I’m glad to hear that you are recovering well from your surgery. It must be very difficult now to deal with the uncertainty about what should happen next when you have been given different information by different people in your healthcare team.

    Dealing with a cancer diagnosis is very challenging and can have a significant impact on your  emotions.

    I’m assuming that you are now taking time to decide if you want to proceed with Internal radiotherapy (Brachytherapy). This treatment can be offered as part of the overall Treatment for womb cancer.

    Here at Macmillan, we can give general advice and support. We are independent from the NHS and don’t have access to medical records so can’t give personalised information.

    The Radiotherapy support thread may be useful for you to get in touch with other women who are considering or undergoing this treatment.

    It can be quite common for teams to delay their decision in offering radiotherapy or any other treatment until after surgery. After surgery the team may have more information about what should happen next.

    This can come from further examinations of the tissue that is removed and visualisation of the affected areas during surgery. This information can provide more clarity on the Staging and grading of womb cancer and may then influence the decision to offer further treatment such as brachytherapy to reduce the risk of cancer cells recurring in that area.

    It sounds as if there have been some issues with how information is being communicated to you and it’s important that you can get accurate information about why the approach has changed. These Questions to ask your healthcare team may be useful.

    Because you have been getting different information from different health care professionals, it would be useful to contact the secretary of your surgeon via the hospital switchboard and ask for a formal timed call or consultation or you may be able to send an email with specific questions about your surgery. You should also ask about the information in the letter that was sent to your GP and seek clarification on why the approach has now changed.

    This will hopefully give you the information that you need to enable you to consider your options and help you to make treatment decisions  about the brachytherapy and what needs to happen next.

    If you feel that you are not getting the information that you need or are unclear about what has happened, you may wish to consider Getting a second opinion or seeking support from the Patient Advice and Liaison Service

    I hope this information is helpful. Sometimes we find that we can provide more specific advice after talking on the phone, as it allows us to ask questions about your individual situation. If you would like to do that, our telephone number is 0808 808 0000. We are open every day between 8am and 8pm.

    Take Care Bluebellina

    Joanne H - Cancer Information Nurse Specialist

    Remember you can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 00 00 (7 days a week, 8am-8pm) or by email.