Take put ovaries and Fallopian tubes?

Special K - OMG 3 cm pre-malignant tumor. Holy smokes!

rleepac - My initial inclination was to take it all out as well. However at the urging of a wise woman on these boards i did a little bit more investigation. Uterine cancer is quite rare and apparently unlike ovarian cancer there are many more symptoms that present. I have heard the term silent killer in regards to ovarian cancer. My brother is a gyn onc and said if the uterus is proven benign with a D&C there is no reason to remove it. He sees all the BC ladies who are on tamoxifen at his practice that have symtoms like mine - thickening, continuous bleeding, polyps. I am perimenopausal so I think I might be having these issues anyway, but since they have to put me out for the D&C I might as well get the ovaries out. I am by far the oldest woman in four generations down my grandfather's line, all the rest passed from BC in their 20's, 30's, and 40's. DB said he would have taken my ovaries out long ago. You might have a discussion with your gyn about just removing the tubes for now if you don't want instant menopause. There has been some research of late that indicates ovarian cancer may start in the tubes, although generally I've seen tube removal only in a younger folks. My DIL's mom is Brca1 pos and we were so worried about DIL being the same (she is not WOO HOO) but DB said they could do tubes only til 35 - 40. I think the average age of onset of ovarian cancer is around 50.

Also, I am going the route I am because it is a day surgery, no long recovery, and I was worried about side effects like incontinence.

Best wishes for whatever you decide!!

I had ovaries and tubes out about a month ago. The surgery wasn't too bad. My biggest concern was whether I would get severe menopausal symptoms. My OB/GYN did blood work which showed very high FSH and very low estradiol so he felt sure that I was in chemopause if not true menopause. I had a terrible time deciding what to do but I am glad I decided to have the surgery. I was very uncomfortable with the idea of the Lupron injections. Now the estrogen source is gone and I can go on an AI or tamoxifen. Good luck with your decision.

Sherrie, I'm so sorry to hear about this. Yes, sometimes it feels like these issues never end. FWIW, there are many types of benign cysts, so that might be what you have. (that's what I had. The docs kept saying it "probably wasn't cancer"--thanks--but it didn't look like any of the known benign cysts either. arg. When I had it removed, along with the ovary and both tubes, turned out that two funky things were going on). Anyway....I hear you on the scariness of this and you're smart to consider your family history. It does make a difference. Good luck with your appt with the gyno and if you want, get a second opinion, perhaps from a gyno-oncologist. I'll send you good thoughts. (((hugs)))

How everyone- just saw this post and decided to share my experience. I am a bit older than most in this post. (63). Never had pelvic problems until a few years ago i got polyps in my uterus. Which where taken out and i had a D&C. (this is all after menopause) . Two years later my sister got Ovarian ca and stomach ca- 2 primaries. After my sister passed about 8 months ago, it was time for my mamo. I had my mano done and of course i am here so that means i was dignosed with ca. During my tremtments i decided to see the Gyn. This time i had like 3 polyps (polyps in uterus are usually pre-ca, and a huge fibroid. I thought none of this could happen at this age. Either way my regular gyn wanted me to see a gyn oncologist. The fibroid and polyps had to come out no matter what. My ononglist told me he could remove the polyps but polyps could return and would have to remove them again. Gee after 63 years i guess i collected a lot of junk in my uterus. The uterus was enlarged. So i just decided to go for a total hys, and avoid any ca in that area. Yes can be a prolapse like anyother surgery. Anything can happen. This is also one of those decisions we have to make on whats best for us. I am now 4 weeks post-op and feel great. Just the recurrance of Ca. still in my mind. Hugs to all of you. Also had a 4 C>M> cyst in rt ov.