We had LOTS of questions for my oncologist after having read a number of articles since our visit with the perinatologist.
When we got there many of these questions went by the wayside. My oncologist wanted to do another exam and actually wound up doing another biopsy because there was some question among his partners which surgery was appropriate for me. What was supposed to be a pre-op visit turned into another twist and left us with more uncertainty and no idea when my surgery would be.
Another oncologist had reviewed my chart for the perinatologist and had a difference in opinion on which surgery was safe for me to proceed with. This information came to me 4 DAYS before I was supposed to have my surgery. My oncologist had decided we would no longer proceed with the simple trachelectomy until I had a consult with the other doctor who felt I should have a radical trachelectomy.
I was really disappointed at the time because I had read a lot about simple trachelectomy and that there may be better chance of successful pregnancy after this less invasive surgery.
In the end, we had the second opinion the day I was originally scheduled for the simple trachelectomy and this new oncologist explained that if I had just one of the high risk factors it might have been appropriate to go ahead with simple trachelectomy but he felt very strongly that you always had to be one step ahead of cancer and because my cancer was right at 7mm diameter on the LEEP, it was poorly differentiated (grade 3), multi-focal, and was positive for lymph vascular space involvement that there was "no way" I should have the simple trachelectomy.
I was worried that he might say I had to have a hysterectomy after all and was relieved he felt I was still a perfect candidate for a fertility sparing procedure. This was on Tuesday July 5th and he agreed to proceed with my surgery that Friday since I looked to be well-healed without residual inflammation after my LEEP even though it was 7.5 weeks and he usually likes to wait at least 8 weeks before doing the trachelectomy after a LEEP.
Only 3 more days... Liquid diet (jello, clear juice, chicken broth) and laxatives for the last two days.
Another oncologist had reviewed my chart for the perinatologist and had a difference in opinion on which surgery was safe for me to proceed with. This information came to me 4 DAYS before I was supposed to have my surgery. My oncologist had decided we would no longer proceed with the simple trachelectomy until I had a consult with the other doctor who felt I should have a radical trachelectomy.
I was really disappointed at the time because I had read a lot about simple trachelectomy and that there may be better chance of successful pregnancy after this less invasive surgery.
In the end, we had the second opinion the day I was originally scheduled for the simple trachelectomy and this new oncologist explained that if I had just one of the high risk factors it might have been appropriate to go ahead with simple trachelectomy but he felt very strongly that you always had to be one step ahead of cancer and because my cancer was right at 7mm diameter on the LEEP, it was poorly differentiated (grade 3), multi-focal, and was positive for lymph vascular space involvement that there was "no way" I should have the simple trachelectomy.
I was worried that he might say I had to have a hysterectomy after all and was relieved he felt I was still a perfect candidate for a fertility sparing procedure. This was on Tuesday July 5th and he agreed to proceed with my surgery that Friday since I looked to be well-healed without residual inflammation after my LEEP even though it was 7.5 weeks and he usually likes to wait at least 8 weeks before doing the trachelectomy after a LEEP.
Only 3 more days... Liquid diet (jello, clear juice, chicken broth) and laxatives for the last two days.
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