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March 17
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Answer Summary

Members discussed whether oncologists should always order PET scans for stage 4 endometrial cancer, with most agreeing that while CT scans are... Read more

Members discussed whether oncologists should always order PET scans for stage 4 endometrial cancer, with most agreeing that while CT scans are often sufficient for monitoring tumor size and treatment response, PET scans can detect smaller changes and spread earlier, though the choice depends on individual cases and insurance approval. Several members strongly encouraged seeking second opinions at comprehensive cancer centers like MD Anderson or Memorial Sloan Kettering, sharing that their own second opinions either confirmed their treatment plans or revealed important alternative options, including one case where a PET scan changed the entire treatment approach after a CT scan proved ambiguous. A recurring theme was the importance of self-advocacy, trusting your instincts about your care, and recognizing that while stage 4 disease may be managed as chronic rather than curable, maintaining hope, exploring integrative approaches, and ensuring access to the best possible medical team can make a meaningful difference in outcomes and quality of life.

A MyEndometrialCancerTeam Member

Brita
Hope all goes well for you.

Robin

April 1
A MyEndometrialCancerTeam Member

I always get second opinions especially when I want to make sure the plan my oncologist recommends is reviewed by other highly rated doctors. My primary oncologist always encourages me to get second opinions. In fact she has given me the names of doctors she would recommend. I have stage 4 endometrial serous cancer. The Pet scan I had in December showed my response to Herceptin was not working. The prior CAT scan was ambiguous. My treatment plan was changed as a result of the findings on the PET scan. In fact the doctor at MSK recommended surgery and my doctor did not. They discussed this with each other and that discussion was shared with me. I personally think the more information you have the better it is.

March 31
A MyEndometrialCancerTeam Member

Robin, wow I had no idea. Interesting. Appreciate you answering me, that is sort of shocking. Is it basically because of you have stage 4 insurance can't justify the cost of a PET Scan? Dr just said it wouldn't change our course of treatment despite me asking her several times. The last time I asked she finally went into further details about how it would not pick up anything less than 1 cm, and that it can give false positives, and CT 's are better in my case which is Stage 4b endometrial CA. So my next CT is 3 months down the road after 3 rounds of chemo/Immunotherapy (but skipping this next Immunotherapy) bc of a grade 3 rash all over my whole body that I am being treated with prednisone for. Thanks again and I hope you are doing well !

March 31
A MyEndometrialCancerTeam Member

I learned after my first PET scan, that these tests are also driven by insurance approval. My PET scan was able to pick up some things that the CT did not. I have stage 4 Uterine Carcinosarcoma. At this point we are looking for stability and hopefully no new spread of the disease. My oncologist has said she can order a PET vs. a CT, but again the insurance company would need to approve and authorize it.

March 31
A MyEndometrialCancerTeam Member

Second opinion always appropriate. Go where you get a comprehensive team to take a look. I don't have a team but am about to get my second opinion.

I heard the same thing from my doctor about controlling it and learning to live with it rather than a cure. That was not good enough for me. I wanted to destroy it and found some answers with integrative oncology.

March 31

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