"Right supraclavicular mass . . . metastatic adenocarcinoma . . . the specimen is compared with patient's previous right ovarian cyst that demonstrated endometrioid adenocarcinoma . . . they have similar histology."
So basically, all that is saying is my original cancer has come back in my neck lymph node. I will go for a PET/CT scan to determine the extent of its spread.
After the surgeon told me the results and gave me a copy of the report, John and I went next door to Dr. Salmieri's office, my oncologist. They had already received the report. The nurse let me back in to see him in his office, even though I didn't have an appointment. He explained that there is a 10% chance of stage 1 cancer recurring. Even though I took every precaution - surgery to remove all susceptible organs and 6 rounds of chemo (some doctors only recommend 3 rounds for stage 1 and some don't recommend any chemo at all!) - it came back anyway. He explained that there are 3 time periods they look at with recurrence. If it comes back within 6 months of initial treatment, they try another chemo. If it comes back 12 months later, they can re-treat with the same chemo or try another. And if it comes back 2 years later (like mine), they usually re-treat with the same chemo. They rationalize that it worked for 2 years, maybe it will work for another two.
He also said radiation was an option depending on the extent of metastases (spread). He mentioned using radiation or chemo to shrink the mass in my neck, then using the cyberknife to eliminate it. But, of coure, all this depends on how much cancer there is. The PET/CT scan will show all the places in my body that have cancer. I'm waiting right now for a call back from the scheduling office to see how soon I can get it done.
Dr. Salmieri will present my case to the tumor board where several doctors will weigh in with their recommendations. He's going to call me on Tuesday with the next step.
It's been a bad day, I'll write more later. Thanks for reading!