Endo cancer, hysto scheduled, concern about lymphoedema

Hi all, my other post details how I was diagnosed so I'll not repeat it here.  I have Grade 1a endo cancer and am scheduled for a hysterectomy next Friday 25th.  They are taking my remaining ovary, uterus and cervix.  The MRI showed "minimal invasion of the uterus wall" and the lymph nodes also looked OK.  Chest X-ray was clear.  However last Friday they called me and said that the biopsy showed the hyperplasia (which I knew was there), some Stage 1a cells, but some "indeterminate cells" and as a result of that they said they would want to "remove some lymph nodes and test them".

I've since digested this and read up on it and I don't know how many nodes they want to remove but I'm concerned about the chance of lymphoedema.  I am a very active person and from what I've read, lymphoedema in the lower legs can be horriffic and last for the rest of my life.

If the MRI showed minimal invasion of the uterine wall and no abnormalities outside the uterus why are they worried that my lymph nodes may be affected enough to want to remove some?  Can they not do lymph node mapping instead?  Or is there an option for some chemo after the hysto to give the body a "flush out"?  If I had to choose I'd opt for the chemo than node removal.

If they are only removing a couple of the sentinel lymph nodes will I NOT be at risk of lymphoedema?  Does that just affect people who have had all their pelvic nodes removed?

I'm waiting for the surgical nurse to call me back so I can ask her about it.

  • Hello Gixer77

    I'm sorry to hear about all that you've been through in the past few years. I can't even begin to imagine the rollercoaster that you've been riding since diagnosis. 

    I hope that you've spoken with the surgical nurse by now and that they were able to give you some information to help you make an informed decision about the next steps. 

    If you want to talk things through with one of our nurses you're most welcome to call them on 0808 800 4040, Monday to Friday 9 am to 5 pm. I'm sure they will be happy to offer any information, advice, and support that they can. 

    I want to wish you well for your surgery next week. I hope that all goes smoothly and that your recovery progresses well. 

    Keep in touch and let us know how you get on. 

    Best wishes, 
    Jenn
    Cancer Chat moderator