Doubts about adjuvant treatment of serous endometrial cancer and biopsy waiting times

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Good evening, my mother was diagnosed on November 1st with endometrial cancer, poorly differentiated serous type, p53 positive and p16 positive with the mass more than 50%, after several tests they found that it seems to be confined to the uterus and not metastasized and on December 6th she was operated.
I have terrible doubts for the following reasons:
we were not told what type of adjuvant therapy will be done, they were talking about radiotherapy and in any case we have to wait for the histological exam.

I searched online and the recommended treatment for this type of tumor is chemotherapy and radiotherapy (portec-3 study).
The problem is that initially they said that the histological exam will be ready after 30 days, yesterday I went to the hospital to see if it was possible to hurry in some way and now they told me that it will take 45 days because of the holidays.

I am desperate because I should wait 45 days for the results and then wait for the oncologists to meet and decide which treatment, in a context in which adjuvant treatment should be started as soon as possible depending on the type of tumor (my mother had a record recovery and after 2 weeks she is already in shape)

I signed up to have support, to understand how to move (even through legal channels or otherwise to try to speed things up) because it creates anguish in me that my mother's aggressive tumor (less than 10% of the serous type on all types of tumors that cause 50% of total deaths) is treated so lightly.

  • Hi Light99, I appreciate that you’re concerned and anxious, but I’d strongly advise you to stop googling! You may get out of date, inaccurate or even wrong info. Treatment plans are tailored to the individual and can vary from person to person, and depend on a whole load of factors and considerations - and it won’t be decided till post histology results are in. Nothing can be decided till then - and you will likely find that your mother is presented with the treatment plan at the same time as she gets her results. Is she in the UK?

  • Hi Light99

    Welcome to the Womb group.

    I am sorry to hear of your mother's diagnosis of endometrial cancer. I hope that she is recovering ok from the surgery.

    I can understand your concern regarding adjuvant treatment and around the wait for results.

    I also had a grade 3 endometrial cancer and more than 50% into the muscle of the womb. (stage 1b) I was told before surgery that they felt it was contained. 

    My adjuvant treatment was chemotherapy and that was follow up with external beam radiotherapy. If you click on my name my profile will come up with the timings of treatment. 

    My post op results were delayed somewhat due to the long Easter weekend.

    There may be differences between hospitals but during my chemotherapy consents appointment I was told that adjuvant treatment could not be started until I was 6 weeks post op. Although I was doing most things by then, I was told that I needed time to heal on the inside. With my radiotherapy I had a planning scan and saw the radiotherapists before my last cycle of chemotherapy. There was then a wait of around 3 weeks before it started- but this coincided with the end of chemo. The 3 weeks was due to the treatment plan being put together. 

    When deciding on what further treatment is needed they will look in detail at the post op results. I knew from the day of my results what further treatment would be needed. The post op results go to the MDT. I was phoned by my surgeon. I then was called in for an appointment to sort out the details. Perhaps you could ask for a telephone call as soon as the results are in. 

    I do understand why you are anxious for your Mother to have her treatment as soon as she can. I hope that her results come back earlier than expected and that you can both find out what her next steps will be.

    In the meantime, perhaps consider giving the Support Line a call and asking one of the nurses about this. 

    Jane

           

    Macmillan Support Line - 0808 808 00 00, 7 days a week between 8am-8pm

  • Hi Light99,

    I hope my story will give you some comfort. I was diagnosed with serous endometrial cancer at the end of March 2022. I had a total hysterectomy on 3rd May, received the results on around 20th June and started chemo on 8th July. The results confirmed it was Stage 3c because four lymph nodes contained cancer cells but it had not spread to any other organs. As you can see, the timeline is not far off from your Mums. After chemo finished at the end of October, I had a break and then had four sessions of brachytherapy in late December. My Consultant told me that serous is a Type 2, more aggressive endometrial cancer but is treatable. For that reason the treatment is more aggressive than a Type 1. I echo MarmiteFan59, please do not google! Two years on I remain well and have had 2 CT scans and numerous check ups, with no sign of recurrence. My next CT scan is in January 2025. My best wishes to your Mum, sounds like she is recovering well from the operation.

  • Just to say that in my experience there are a number of histological tests that need to be done and it's necessary for them all to be completed before the course of treatment is finalised for the individual.

    I'm on this particular forum now because I'm awaiting a hysterectomy to address endometrial cancer, but it was discovered as a result of my also having bowel cancer, which was treated by surgery a few months back. The consultant originally recommended adjuvant chemotherapy for that following my operation, but at my initial meeting with the oncologist a few weeks later I was told that further analysis of the tumour that had just come in 48 hours earlier showed a genetic trait that mean that chemo would not be beneficial and the risks would outweigh the benefits. These sets of tests all take time to do. 

    So I understand your anxiety but you really need to allow time for them to do a full analysis. As others have said it's usual to not start any follow up treatment until you've had time to fully recover from the surgery - 6 weeks was mentioned to me. Your mother may feel back in shape after only two weeks but she's had major surgery and it will take longer than that for her internal organs to readjust