Patient's Query
Hello doctor,
My aunt is 52 and was diagnosed with a rare type called mesonephric endometrial cancer, and she already underwent a hysterectomy recently. We thought surgery would be enough, but now doctors are advising chemotherapy, which has confused us.
Kindly help.
Thank you.
Hi
Welcome to icliniq.com.
I understand this. It is normal to feel unsure when the treatment plan changes after a big surgery.
A hysterectomy removes the main tumor that can be seen. But in rare cancers like mesonephric or mesonephric-like endometrial cancer, doctors still worry that tiny hidden cancer cells (micrometastases) may remain in the body, even when scans look normal, and all visible disease has been removed by surgery.
This rare type of endometrial cancer is often more aggressive, meaning it grows faster and is more likely to come back or spread.
Chemotherapy is not given because surgery failed, but as an added treatment to kill any hidden microscopic cancer cells (micrometastases).
The need for chemotherapy depends on stage, grade, lymph node status, and pathology results, which together define the patient’s risk profile.
It’s helpful to ask the oncology team about the exact stage and report details to understand the reason for treatment.
Hope this helps.
Thank you.
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