Best ovarian cancer specialist- advice please!

FormerMember
FormerMember
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Hi all,

Very scared and looking for advice. 


Just found out from CT scan that my mum has an ovarian tumour (5cm), thickened omentum, ascites and raised ca125. No one has named a stage but I’m guessing as it has spread to the omentum we are looking at stage 3.


Anyway they now want her to have a biopsy and await results and then be discussed at an MDT meeting at Guys hospital in London which won’t take place for more than two weeks! Then once they’ve discussed that they will decide on surgery then chemotherapy or chemotherapy then surgery and this could all take further weeks! 


I’m not happy with all this waiting around. I’ve read that it’s very important to get in there early and do radical surgery. I’ve heard you can biopsy once you’ve removed everything. 


I’ve heard the Royal Marsden is a better hospital. My question to everyone here is does anyone know of or can recommend where to get the best ovarian cancer treatment? I’m looking for the best gynaecologist oncologist surgeons who will act quickly to treat my mum. Nhs or private! 


Please give any recommendations and personal experiences!


Many thanks.


X

  • FormerMember
    FormerMember

    Hi 80sBaby

    Welcome to this community although I'm sorry to hear what has brought you here and what you and your mum and experiencing.

    I'm afraid that I can't answer the question you're asking about how to get good treatment quickly but I think you are right in trying to get this, especially as your mother has ascites and I guess is likely to be in some discomfort.

    When I was diagnosed with ovarian cancer in 2014 my health deteriorated rapidly, although everybody's experience is different.

    My ovarian cancer was able to be diagnosed from a sample of the fluid, rather than a biopsy, and I'm wondering if you might want to enquire whether this is a possibility; it would probably be a quicker procedure than a biopsy and may be possible to be done sooner, although there's still the waiting needed before the results are available.

    I requested a referral to the Marsden after I had started chemo as I believed there was a good chance I had a BRCA mutation (which I found out later was the case) and doctors at the Marsden were much better placed than my local team to advise me about my options; I saw Dr Susana Banerjee there.

    I think the important thing is that your mother starts appropriate treatment (whether that's chemo first or surgery first) quickly.  If she is to have chemo first (as I did) then you will have a few weeks to decide on which surgeon she has, but if having surgery first is in her best interests then you will want to have this info soon.   

    I think my NHS surgeon at Southampton was very skilled and he managed to remove all visible cancer, although I knew before I started that this would not be curative.

    Keep an eye on your mother's symptoms and make sure they are addressed if they worsen, as the medical team can be focused on the diagnosis process and may not address things such as pain unless you make a fuss.  Be aware also that ovarian cancer can lead to dvt, so it is good if your mother can keep moving around and watch out for any symptoms - particularly any strange feelings in her legs.

    I'm afraid all the waiting involved during the diagnosis process and waiting for treatment to start can be really difficult.

    You might want to start a thread with a title asking for recommendations for private gynae oncologist surgeons to see if anyone else on the community has experiences they can share.  I guess the surgeons will be the same people who work in the NHS (as they are few and far between) but it might be possible to get an earlier appointment with them privately.  However, this would probably only be worthwhile if it's decided that your mother has surgery before chemo - which won't necessarily be the case.

    Do keep on reaching out for support and take good care of yourself as well as your mother.

    All good wishes


  • FormerMember
    FormerMember

    Hi there

    Your story sounds almost identical to my mother in laws journey. Everything moved fast at the start (blood tests, ultra sounds, ct scan etc......all this was done in a week from 1st visit to the docs!!!) then once she had been officially diagnosed things seemed to slow right down. We waited a week for an initial meeting with gynae specialist, a further week for referral to specialist hospital, then another week for biopsy of omentum, then a further 2 weeks until the appt to discuss treatment plan. The problem is, once they’ve biopsied, they have to wait for pathology, then present everything, including scans etc to a multi disciplinary team (MDT team - this may include gynaecologists, oncologists, radiologists etc, all who play a very important part in interpreting all the evidence to collectively agree on the best plan forward). This team generally only meet once a week to review ALL active cases, so it’s a big task. In our area they seem to meet on a Friday, so results of these MDT meetings seems to be delivered at the start of the following week. More waiting!!! We are under a centre of excellence (the Christie in Manchester) and we have still had to adhere to the protocol re wait times. 

    If I were you, why not ring the Royal Marsden and ask to speak to a gynae oncologist clinical nurse there. Explain your situation and ask them if they do things any different/faster there. The role of these clinical nurse specialists (CNS) is to be a liaison between patients and consultants, they are often a great point of contact for worries/questions etc. My mother in law has phoned hers several times so far for reassurances.

    Regarding my mother in law, she has so far had three chemos, followed by a scan. The MDT team concluded the chemo hasn’t done enough yet to be in prime position for the debulking surgery, so they have suggested 3/4 more chemos with a further scan after that. She is well in herself, looks great, sometimes is hard to believe she’s got all this going on inside her!!!! 

    Best of luck xx
  • FormerMember
    FormerMember

    Hi.

    I totally understand how scary this is for you but as hard as it sounds try to take a step at a time.

    Did they confirm it was a tumour as in solid throughout or is there any possibility it is a cyst?  By accident it was discovered I had a 
    cyst with part solid and part fluid elements and raised ca125. The first consultant was all doom and gloom and wanted to do a full hysterectomy followed by chemo, all before a biopsy confirmed anything I might add. I kicked up a fuss and said I would sue him if they did a hysterectomy and it was benign so he referred me to another consultant. The lovely Dr Cameron Martin and Spire Murrayfield in Edinburgh.

    Anyway Dr Martin just took the cyst and an ovary out and the biopsy proved benign with a minuscule amount that could have been turning to Cancer.

    Moral of the story don’t just accept the first opinion and if you can use Dr Martin do. He is excellent, very reassuring and positive.
  • FormerMember
    FormerMember in reply to FormerMember

    Wow oblivious! I'm in the same situation - a 5.5cm cyst part fluid, part solid was found accidentally on a scan for something else. A high ca125 confirmed that it was cancer & ive had a full hysterectomy prior to any testing of the cyst. I did ask about a biopsy but was told there was no point as it would need to come out anyway! Still waiting the pathology results xx

  • FormerMember
    FormerMember

    I was in the same situation as all of you last May. I was absolutely shocked and wanted everything to happen quickly as I was scared. It took 3 weeks to start chemo which I was told was quick but it felt far to long to me. However looking back, it was not. I can only advise to use this time to read about thinks you can do yourself to help your body prepare for what is coming. I changed my diet, spend as much time as I could outdoors walking as I could. 

    I am now in remission after a long journey which has been tough but very interesting. 

    Keep your spirits up and if I can be of any help along the way please let me know. I am a great believer that you can do a lot for yourself and help you body getting through this. 

    Best wishes

    Christine

  • FormerMember
    FormerMember in reply to FormerMember

    I feel awful for you. A high CA 125 does not mean it is Cancer, several other benign things can cause this like fibroids and endometriosis.

    I really hope the biopsy proves benign as much as that that might frustrate you that they did a hysterectomy when it might not be needed. However on the plus side my friends who had hysterectomies say life is a lot better without a womb.

    Fingers crossed for the result you want.

  • FormerMember
    FormerMember in reply to FormerMember

    Hi ChrisHo

    Wow, sounds like you have had a rough ride. One of the reasons I like this site is because everyone is on the same page, ie are either going through their own battle with cancer or have a relative who is, and have total understanding of what each other is going/gone through. 


    It’s wonderful news to hear you are in remission after your journey!! If you are happy to talk about it, would you mind sharing your journey and the highs and lows along the way? I’m trying to prepare myself for the months ahead, so to hear your journey would be a good insight xx

  • FormerMember
    FormerMember in reply to FormerMember

    Hi miss Melody 

    Of cause I am happy to share

    I am a nurse and have during my career worked with cancer patients. In fact I did work in the same Unit, where I received my treatment ( Even many years ago, I still New some of the staff). It was difficult while I was waiting and I got very annoyed and scared before my first treatment. All staff including my consultant where great and very understanding, but it was my family and friends who helped me through it. I spend the days going out with you he doge my friends took it in turns to be with me and when I was home alone, I had my head in the computer or a book. I can highly recommend Kris Carr, she is a great writer and loved her books, she had stage 4 cancer and writes about her journey and one of the books is called the gravy sexy diet, I love it. 

    I did all the surfing the net for prognoses, medical information and statistics, sometimes it’s not great knowing to much, but for me, I needed to do it. 

    So far, what I can recommend try and stay positive eat well( avoid sugar and red meat, eat lots of veg and fruit) and keep you body as strong as possible. 

    Best wishes

  • FormerMember
    FormerMember in reply to FormerMember

    Hi 80sBaby, I have just recently (2 weeks ago) had a laparotomy to have a 24 x 18 x 13 cm malignant ovarian cyst removed which weighed approximately 4kgs. I am posting to recommend Mr Alan Farthing to you if you are looking for the best surgeon available. I was fortunate enough to have got treated from him after approaching him for a second opinion as the first surgeon i was consulted by was very much all doom and gloom and did not make me feel at ease one bit. The first surgeon would also most definitely have performed a hysterectomy on me as he advised if cancer was present during surgery a hysterectomy would be inevitable, whereas Mr Farthing took a far more explorative approach and was able to protect my fertility by only needing to remove the cyst and one ovary. Mr Farthing and his team made the whole experience much less traumatic then i had thought it would be and everything was done without delays and i cannot thank him or recommend him enough. Your mother will be in the best hands. Regarding chemotherapy, if being treated in London works for you i would recommend Dr Jon Krell. London unfortunately is not an option for me currently and i will be being treated elsewhere. I hope this helps you and wishing you and your mother all the best. If you need details on how to contact Mr Farthing i’d be happy to help.

  • FormerMember
    FormerMember in reply to FormerMember

    Hi POC

    My sister has just been diagnosed with ovarian. Could you please let me have the details of how to contact Dr Farthing.

    Many thanks.