tamoxifin and endometrial cancer
Comments
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Perky - how are you doing?
I'm getting a little nervous about the surgery. My LE has recently flared up again. I'm sure it's nerves. I have both truncal and arm LE...se's from rads. Navigating through surgery with those problems may cause more grief. Oh well...I guess I just have to deal with the cards I've been given. I have two pre-op appts on Weds. I also have my liquid diet starting then, so I figured this gives me a free pass to pig out this weekend. Screw the weight loss goal...it's not going to happen.
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Hi Betsy,
You were right. My surgeon said two weeks which I 5took to mean one week but after surgery he said six weeks and it's been almost two weeks and I don't see going back to work yet. I'm just tired or I tire easily. No pain, no major menopause symptoms, the effoxor is doing it's job.
So sorry about the LE. My nurse wrote a huge sign in marker saying to not touch my right arm for any reason and that did the trick.
Also, recovery is so easy, you sit around a lot and feel good enough t9 be bored, don't expect big weight loss from that. I'm eating potato chips for sport right now but once I can get moving again,I will be back to my old habits.
When is your surgery? -
I haven't seen this thread before. FWIW, please, please, ladies, if anything seems amiss, see your doctor and seriously think about getting a hysterectomy if you are on Tamoxifen. My best friend took Tamoxifen for a year before quitting it because of SE. A year later, she started bleeding even though she was menopausal. Four months later she was dead from endometrial cancer. I know it's rare, but not for her.
When I was diagnosed, I told my onc in no uncertain terms that if I had to go on Tamoxifen, a hysterectomy would be required for me. He listened. Fortunately it turned out I was post-menopausal, and I'm on aromatase inhibitors.
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Saw my surgeon today for the 2 week follow up. Pathology basically said that my uterus, cervix and overies were a hot mess. No cancer but a 5 different types of cysts, polyps, tumors, endometriosis and adenomyosis. No cancer but with that much going on, who knows if it would have turned. Also, he didn't know how I wasn't in agony with the adenomyosis but I swear I wasn't. So it's a good thing to have done it. I never would have guessed.
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Wow, Perky! Absolutely incredible!
I had my pelvic ultrasound yesterday. My appt with my onc isn't until 12/6, so I am hoping I don't get a phone call before then.
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After my hysterectomy I was found to have adenomyosis too. My gyn suspected it, but it can't be diagnosed without removal, she said. Instead of being a normal size (1lb?) it was like 3 lbs! I had never even heard of adenemyosis before about 2 years ago, but now understand that it is not uncommon.
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Lalisa, that makes sense. I was told that my uterus was bigger than they expected it to be and I didn't understand that. The adenomyosis would do that. 3 lbs is a lot for a uterus. Were you in pain from the condition? Bet you feel better now. I already do even with the sings from healing.
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Surgery is tomorrow 11-11-11. I can hardly wait to put this behind me. But then I will have to wait again for the path report. That will determine if chemo and or rads will be suggested, same drill as BC. I was one of those unfortunate ones that had a neg path report in surgery for BC but then had a positive lymph in the final path report. I will wait this time for the final path report regardless of what they tell me.
Perky thanks for the posts but dang I was hoping to lose at least 3 pounds of organs. I'm looking forward to some rest.
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Betsy sending love and light for your surgery tomorrow! And also a good path result.
Perky, I think the main issue for me is that it was pressing on my bladder, it is only now that it is gone that I realize how much!
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Betsy, I will be thinking of you tomorrow. Hoping it's contained and really, really, heavy. Stinks that you are facing the beast again.
Lalisa, glad you are feeling better!
Juli50, you won't hear anything, the only thing slower than the cancer is the docs that treat it.
Barbie, thinking of you too. You have been so helpful, hope things are much better for you now. -
I have never heard of adenomyosis and when I did a google search I found this comment:
Most women have some adenomyosis as they near menopause but few women have symptoms, and most women don't require any treatment.
source: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002481/
Earlier it said it can cause pain during intercourse and other symptoms. But not all women have the symptoms.
BetsyBuzz, good luck on surgery tomorrow. Sending you good vibes.
Perky and everyone recoving from surgery, hope you're doing well.
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Funny thing, Perky, my onc's office just called. I thought for sure it would be bad news since they called so quickly. haha. The pelvic ultrasound showed some improvement in the lining thickness since the last one 6 months ago. Good news.
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Juli50, hurrah for the good news!!!!!
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Thanks, Peggy!
Betsy, hope you are recovering well. hugs!
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Betsy,
Hope you are resting comfortably in your room tonight with a great result.
Juli50 so happy you got good news so fast. In my experience, that is very unusual that you would get an update at all. Yay!
Looking forward to hearing from Betsy in a few days... -
Good thoughts for Betsy's recovery!
Finally had my SIS test today. It didn't go terribly smoothly. I think I'm still headed for a D&C and at this point, if that's where this is going, I'd like to just get it over with. Of course, with benign results in the plan!
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I've been pulled off tamoxifen after four years with a very large endometrial stripe and about 10 cms worth of cysts in my left ovary. An endometrial biopsy said no cancer. My question is: Is it a good idea to just do nothing and let things resolve themselves if it's tamoxifen to blame? Or is the risk that since the cells have gone crazy and multiplied, the longer you leave them in there the greater the chance of something happening? I guess I'm just confused about how this works. Tamoxifen can cause endometrial thickening, so that's in a sense normal if you're on the drug, but how can cancer enter the picture? Is it always there from the start of the overgrowth or can it just happen along anytime so the longer the overgrowth is in there the more chance a problem might occur? My other concern is about a biopsy v a D&C--is one better/more completely accurate than the other?
Thanks,
lopsided blogger
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lopsided_blogger wrote: My question is: Is it a good idea to just do nothing and let things resolve themselves if it's tamoxifen to blame?
Your questions all seem valid, esp. that one (above). Can you ask your doc (gyn? MO)?
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Lopsided, I would definitely want to wait it out myself. Would not want to make any drastic decisions based on something that might only be a temporary problem. I would discuss this with my Gyn. A D&C scrapes away the lining while a biopsy takes some cells and sends them to the pathology lab to check for cancer.
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Gyn called yesterday, time for the D&C. Not surprised, but....shit.
I HATE THIS, I HATE CANCER!!!!!!
WAAAAAAH.
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Miss Betsy, how are you? Looking forward to hearing from you....
SweatySpice, So sorry! That is awful. Hoping that VoraciousReader chimes in. She has been dealing with this one step at a time for a while and seems sane and calm about it all. -
Hi all,
Sorry I haven't posted until now. It was a very rough go in the hosptial and during my first week of recovery. They were able to use the da Vinci machine which is suppose to be less of a ordeal. Well mine didn't turn out that way. I think my problems were more related to anethesia than the surgery. They gave me a spinal plus heprin and regular anethesia. Surgery went well, the cancer was confined to my uterus with no node involvement. Which is truly wonderfully once I feel well enough for it to sink in. The next week after surgery I spent trying to eat and vomiting. It was a horrible cycle. I couldn't keep anything down. By Wednesday, I was in the ER. After giving me anti nausa drugs, enema and a bag of fluids I felt a whole lot better. It took two more days for my bowels to work on their own. Thankfully, nature and all the laxatives have taken over.
The bruising is another issue. I am black and blue from my mid thigh to my chest. Some spots are worst than others. My sister, who is a nurse thinks it's because of the heprin they kept giving me to counter any tamoxifin in my system. Remember tamoxifin causes blood clots so they really didn't want me dealing with that too. I am still very, very swollen and sore. The worst area is my pelvic area. NO wonder my bladder and bowels are so upset.
I'm just happy I can eat again, I finally am able to get into my fat lady pants and feel like I've turn the corner on recovery. I'm also super thankful for my dh and sister they have both been such a blessing.
Wishing everyone well.
Betsy
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Betsy,
Glkad to hear from you. Really glad you are once again, cancer free! Sorry you had a rough time. My hospital roommate had the same trouble and I felt for her. Not fun to feel sick on top of feeling terrible. Hope things are starting to improve. \
I am exactly 1 month out today and am finally feeling like I am gaining on it in terms of strength and energy so don't worry, You will get there!
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I just had my transvaginal ultrasound--the only thing I could get from the tech was that my lining was 7. something mm. As a post menopausal woman with vaginal discharge and both a history of tamoxifen (stopped about 4 yrs ago) and family history of uterine cancer, I'm worried.
I don't see my gyn until mid-December, so any advice will be welcomed. Is there a possiblity, even a strong one, that it's nothing? I hate waiting.....
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CoffePot...waiting is the hardest thing. My dr. told me normal is around 4, I suspect based on your history your dr. will probably recommend a biopsy. Do it if they recommend it and the sooner the better.
Got my results today. Stage 1A, grade 1, tumor 1.5 cm. No further treatment other than the complete hysto. My tumor had extended into the lower wall of the uterus but my onc said he still would not recommend chemo or rads due to the SE's. I have a lot to be thankful for. They caught the cancer very early because I did not ignore my symptoms of vaginal discharge. I have a lot to be thankful for tomorrow.
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Thanks, Betsy, for the good advice. While I'm so sorry you developed uterine cancer, I am happy for you that you caught it early. What a terrible experience you had though with your operation--that scares me! Would he normally recommend chemo for stage one? There is so much to learn, and I'm not even sure I understand breast cancer completely, but now to start trying to understand Uterine Cancer just leaves me cold and wanting to go hide in bed.
Your lining was 9mm, right? My gyn was sure that last year's bleeding was vaginal atrophy, so I have felt even with the increase this year, that it was still atrophy. But I don't think I can have vaginal atrophy with an endometrial lining of 7mm. I am trying not to stress out. I'm trying not to think about it all the time. I've had so many scares since my original breast cancer dx in 2005, and with the exception of blood counts that have never returned to a normal, I've been okay, so this encourages me to relax. However, I think I'll call my gyn next week to see the results of the ultrasound. They spent the longest time doing it, longer than ever before, but I think it was because there was a bit of a bowell that blocked their view. And then I try to read their looks, but with such young women, maybe they were sympathetic looking because I'm so old to them! I'm going to concentrate on being thankful. Thanks for supporting and helping me and I wish you a speedy recovery.
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CoffePot...yes my endometrial lining measured 9 mm, which my GYN imediately said you need a biopsy. Don't worry too much, I know that's easy to say hard to do, there are many, many causes of vaginal discharge. I just wanted for you to prepare for a biopsy in your future.
My experience is very, very rare according to all the drs. Someone has to be in that damn 1%. Right now I'm occupying my lazy-boy chair. Closest thing I'm getting to the "occupy" camp. LOL. Guess I'm feeling better.
Now I'm worried about a vaginal dehiscene with my thermal cuff. Any one else out there with a thermal cuff? Just curious.
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Betsy, You probably already know this, but there is a very active uterine cancer board at csn.cancer.org. There are also many people who believe they developed uterine cancer from tamoxifen who post. And I've also seen many women who are using the vaginal(?) cuff, but I haven't paid attention to it because I'm still searching tamoxifen and uterine cancer. It's very scary. What makes me so angry is that I've had this discharge on and off for several years, yet my gyn, who was recommended by my onc, just kept saying it was probably nothing. He "could" do a biopsy--he "could" even do a hysterectomy, but he thought I was okay. It just seems unprofessional. To give him credit, my last trvgu measured my lining at 2. mm, but just a few months before that it was almost 6mm and now it is 7mm. How could it go from 6 to 2 to 7?
What is really troubling is the number of women who developed the "bad" type of ut.cancer from tamoxifen. I'm glad you didn't. Keep relaxing in that chair!
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Update - after an SIS test and then a roadbump with presurgical clearance, I'm supposedly having a d&c on Thurs (if the cold I seem to have gotten doesn't get worse). Due to the holidays, I prob won't get pathology results till sometime in January. Wish me luck.
Onc took me off Tamoxifen until we get results. I think since it's now been over a year since last menstruation, he might switch me to something else. I know nothing about those other drugs. More research. Ugh.
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Good Luck, sweatyspice. Hope you feel better in time for the holidays.
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