I wrote a couple of weeks ago and said I would update. I had been told surgery wouldn't be necessary for my Ovca after chemo. the issue is that there never was any kind of mass or tumor, and only after my 4th treatment did a genetic test show it was definitely ovca. So I did go to a specialist in gyn-onc and she agreed if it started in the ovaries, why not have them out? So they did a CT scan and put everything together and said in fact nothing had ever shown in my ovaries, no swelling no ascites--the only symptoms were some bloating and mostly the pleural effusions. The conclusion (for now!) is that it actually started in the upper abdomen in the epithelial cells that are all over your organs, and epithelial cells are "ovarian-like" and the cancer is treated the same. It does seem to be working. It's called Primary Peritoneal Carcinoma, for those keeping score... And the layers of cells on my peritoneum essentially are the tumor, so you can't cut them out.
Now as the for the other issue, the first plan was Avastin and Taxol, which no one on this list could make any sense of, but the argument was that the Ovca dose of Carbo is high so the Taxol would be less invasive. But then I got less Stoic about the foot pain and told them how much they hurt sometimes, even though it was intermittent, so they decided to give me a lower dose (6 instead of 7.5AUC with the Avastin for a while, then I guess another CT and keep checking numbers. I got the new treatment yesterday and so far feel fine.





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