Treatment FAQ

what to expect after being in remission 2 years after treatment from ovarian cancer

by Prof. Chase Wiza DVM Published 3 years ago Updated 2 years ago

The longer you are in remission, the lower the likelihood that your ovarian cancer will come back. This is why your doctor will begin spacing out your appointments after a few years. After treatment, some ovarian cancer patients may notice a decrease in their range of motion and strength.

Full Answer

What happens during remission treatment?

During treatment, your cancer will be closely monitored so that your doctor will be able to see any reduction in cancer signs. This reduction has to last for at least a month for your cancer to be considered in remission. Because there are still cancer cells in your body even when you’re in remission, you might have treatment during remission.

Can ovarian cancer come back after remission?

If you have ovarian cancer that returns after a period of remission, it’s known as recurrent ovarian cancer. Recurrent ovarian cancer usually comes back in the same place as the tumor originally developed, or it may grow back in another part of the body, though this is less common. Read on to learn more about ovarian cancer recurrence.

What should I do if I suspect ovarian cancer recurrence?

Let your doctor know right away if you develop potential signs or symptoms of ovarian cancer recurrence. If they suspect the cancer has returned, they may conduct a physical exam, order blood tests, and use imaging studies to check for recurrence.

What is ovarian cancer recurrence?

A cancer recurrence happens because some cancer cells were left behind and eventually grow and become apparent. The cancer may come back to the same place as the original tumor or to another place in the body. Around 70 percent of patients diagnosed with ovarian cancer will have a recurrence.

What are the odds of ovarian cancer coming back?

Patients diagnosed in stage 1 have a 10 percent chance of recurrence. Patients diagnosed in stage 2 have a 30 percent chance of recurrence. Patients diagnosed in stage 3 have a 70 to 90 percent chance of recurrence. Patients diagnosed in stage 4 have a 90 to 95 percent chance of recurrence.

How do you know if ovarian cancer has returned?

Ovarian cancer recurrence can be detected in several ways. For example, a patient might experience: Unusual abdominal pain, bloating, fatigue, nausea or inability to eat and feeling full faster. Pain and other symptoms related to the spread of the cancer to other areas of her body.

How long does it take for ovarian cancer to return?

The median interval to first recurrence is 18 to 24 months in ovarian cancer. To clarify the prognostic factors and to determine the treatment procedure, grouping of recurrent patients was applied.

How long can you live after cancer remission?

If you remain in complete remission for 5 years or more, some doctors may say that you are cured. Still, some cancer cells can remain in your body for many years after treatment. These cells may cause the cancer to come back one day.

Can you be fully cured of ovarian cancer?

(When cancer returns, it is called recurrence.) This is very common if you've had cancer. For other people, ovarian cancer never goes away completely. Some women may be treated with chemotherapy on and off for years.

Can you be cancer free after ovarian cancer?

About 80% of women who are diagnosed with ovarian cancer will go into remission after their initial treatment, but around 60% will then have a recurrence. The goal of maintenance therapy is to delay a cancer recurrence or to reduce the risk of it recurring at all.

Can you live a long life after ovarian cancer?

Survival for all stages of ovarian cancer more than 70 out of 100 women (more than 70%) will survive their cancer for 1 year or more after they are diagnosed. almost 45 out of 100 women (almost 45%) will survive their cancer for 5 years or more. 35 out of 100 women (35%) will survive their cancer for 10 years or more.

Does ca125 rise after treatment finishes?

Conclusions. Increase of CA-125 serum concentration by > 5 U/ml within the normal range 3 and 6 months after the end of treatment in patients who achieved complete remission is independent poor prognostic factor and significantly raises the risk of OC recurrence and risk of death.

What is life expectancy after ovarian cancer?

For all types of ovarian cancer taken together, about 3 in 4 women with ovarian cancer live for at least 1 year after diagnosis. Almost half (46.2%) of women with ovarian cancer are still alive at least 5 years after diagnosis. Women diagnosed when they are younger than 65 do better than older women.

Is being in remission the same thing as being cured?

Complete remission means that tests, physical exams, and scans show that all signs of your cancer are gone. Some doctors also refer to complete remission as “no evidence of disease (NED).” That doesn't mean you are cured.

Why does cancer return after remission?

A cancer recurrence happens because, in spite of the best efforts to rid you of your cancer, some cells from your cancer remained. These cells can grow and may cause symptoms. These cells could be in the same place where your cancer first originated, or they could be in another part of your body.

Is remission the same as cancer free?

Remission allows for the possibility that some microscopic, undetectable cancer remains in the body, while cancer-free indicates exactly what it sounds like: the patient is entirely free of cancer.

Can ovarian cancer come back after total hysterectomy?

Yes. You still have a risk of ovarian cancer or a type of cancer that acts just like it (peritoneal cancer) if you've had a hysterectomy.

How many times can you have chemotherapy for ovarian cancer?

These drugs are usually given as an IV (put into a vein) every 3 to 4 weeks. The typical course of chemo for epithelial ovarian cancer involves 3 to 6 cycles of treatment, depending on the stage and type of ovarian cancer. A cycle is a schedule of regular doses of a drug, followed by a rest period.

Where is the first place ovarian cancer spreads to?

If that cancer spreads, it is known as metastasizing. In ovarian cancer, the cells abnormally grow in the ovaries or the fallopian tubes. In fact, recent research shows that most ovarian tumors may start in the fallopian tubes.

What is the treatment for recurrent ovarian cancer?

Ovarian cancer often comes back (relapses) after treatment. This is also called recurrent cancer. The main treatment for recurrent ovarian cancer is anti cancer drug treatment (chemotherapy). You also might have surgery or targeted cancer drugs.

What to do if you have ovarian cancer?

If you have (or have had) ovarian cancer, you probably want to know if there are things you can do that might lower your risk of the cancer growing or coming back, such as exercising, eating a certain type of diet, or taking nutritional supplements.

What is the follow up for ovarian cancer?

Follow-up for ovarian cancer usually includes blood tests for tumor markers or hormones that help recognize recurrence. The choice of which blood tests to do depends on the type of cancer a woman has.

What blood test is used to detect ovarian cancer?

Blood tests for tumor markers 1 For epithelial ovarian cancer, CA-125 is the tumor marker used most often to check for recurrence. But it is not clear if checking for CA-125 levels and treating you before you have symptoms will help you live longer. Treatment based only on CA-125 levels and not symptoms can increase side effects, so it is important to discuss the pros and cons of CA-125 monitoring and quality of life with your doctor. Tests for other tumor markers, such as CA 19-9, CEA, and HE-4, are used most often for women whose CA-125 levels never went up. 2 For germ cell tumors, blood is tested for alpha-fetoprotein (AFP) and/or human chorionic gonadotropin (HCG). 3 For stromal cancers, checking levels of hormones like estrogen, testosterone, and inhibin is sometimes helpful.

What happens if cancer comes back?

If the cancer does recur at some point, your treatment options will depend on where the cancer is located, what treatments you’ve had before, and your health. For more general information on recurrence, you may also want to see Understanding Recurrence.

What is the importance of follow up appointments?

During these visits, your doctors will ask questions about any problems you may have and may do exams and lab tests or x-rays and scans to look for signs of cancer or treatment side effects.

How long do side effects of cancer last?

Some cancer treatment side effects may last a long time or might not even show up until years after you have finished treatment. Your doctor visits are a good time to ask questions and talk about any changes or problems you notice or concerns you have. To some extent, the frequency of follow up visits and tests will depend on the stage ...

What is a survivorship plan?

This plan might include: A schedule for other tests you might need in the future, such as early detection (screening) tests for other types of cancer, or tests to look for long-term health effects from your cancer or its treatment.

How long does a cancer remission last?

The decrease must last for at least one month to be considered remission. types of cancer remission. There different types of remission: Partial. A reduction of at least 50 percent in measurable tumor size or cancer cells. Complete.

How is cancer remission determined?

How is remission determined? Cancer remission is determined by blood tests, imaging tests, or a biopsy, depending on the type of cancer. During treatment, your cancer will be closely monitored so that your doctor will be able to see any reduction in cancer signs. This reduction has to last for at least a month for your cancer to be considered in ...

What is the survival rate for non-small cell lung cancer?

Non-small cell lung cancer: The 5-year relative survival rate for all stages, according to the American Cancer Society, is 23 percent. The relative survival rate is 60 percent for localized lung cancer and 6 percent for lung cancer that was metastasized at the time of diagnosis.

What is the relative survival rate of cancer?

A relative survival rate compares people with the same type and stage of cancer to people in the overall population. If the 5-year relative survival rate for a certain cancer is 20 percent, it means those who have that cancer are about 20 percent as likely as people who don’t have that cancer to live five years after being diagnosed.

What is cancer remission?

Cancer remission is when the signs and symptoms of cancer have lessened or are undetectable.

What is the most common treatment for cancer?

The most common type of treatment during remission is maintenance chemotherapy . This is chemo that’s given regularly to stop the cancer from spreading.

Where does cancer come back?

The cancer comes back in lymph nodes and tissues near the original cancer site. Distant. The cancer comes back in other places throughout the body (metastasized). The chance of recurrence depends on many things, including the type of cancer you had, what stage the cancer was found in, and your overall health.

How long does ovarian cancer last?

One small study in the Journal of Clinical Gynecology & Obstetrics found that women with recurrent ovarian cancer survived for an average of 32 months after the cancer returned.

What percentage of ovarian cancer is recurrence?

70 to 90 percent if it’s diagnosed and treated in stage 3. 90 to 95 percent if it’s diagnosed and treated in stage 4. In total, about 70 percent of people with ovarian cancer experience a recurrence.

What is ovarian cancer?

Ovaries are the reproductive organs where eggs are made. When cancer develops in the ovaries, it’s known as ovarian cancer. Multiple treatments are available to help bring ovarian cancer into remission. If you have ovarian cancer that returns after a period of remission, it’s known as recurrent ovarian cancer.

How to reduce the size of cancer?

surgery, which may help reduce the size of the cancer and relieve symptoms. palliative care, which may help relieve symptoms. If you previously received platinum-based chemotherapy to treat the cancer and your last dose of chemo was administered within the past 6 months, the cancer will be considered platinum-resistant.

What to do if you suspect cancer has returned?

If they suspect the cancer has returned, they may conduct a physical exam, order blood tests, and use imaging studies to check for recurrence.

Does ovarian cancer come back?

Recurrent ovarian cancer usually comes back in the same place as the tumor originally developed, or it may grow back in another part of the body, though this is less common. Read on to learn more about ovarian cancer recurrence.

Can a doctor detect recurrence of cancer?

Your doctor may also detect signs of recurrence during follow-up appointments, which you would have scheduled after initial treatment brought the cancer into remission.

How long does it take for ovarian cancer to recur?

If the time to recurrence is less than six months, the ovarian cancer is classified as platinum-resistant, and the woman will be treated with usually one other type of chemotherapy drug.

What is the term for the time to recurrence of ovarian cancer?

The effectiveness and type of treatment for recurrent ovarian cancer depends on what kind of chemotherapy the patient received in the past, the side effects associated with previous treatments, the extent of the recurrent cancer and the length of time since the last treatment was finished called the “time to recurrence,” which researchers often call “progression-free survival.”

Where does ovarian cancer usually recur?

If ovarian cancer does recur after surgery, it can present in different ways, either localized to another part of the body , or as a widespread recurrence.

What is the chance of ovarian cancer recurrence in stage 3?

Patients diagnosed in stage 3 have a 70 to 90 percent chance of recurrence. Patients diagnosed in stage 4 have a 90 to 95 percent chance of recurrence. You can find more information on managing ovarian cancer recurrence in videos from our 2020 National Conference.

How does chemotherapy help women?

Chemotherapy is used to stop the progression of cancer and prolong the patient’s survival. Sometimes, surgery is used to relieve symptoms, such as a blocked bowel caused by the recurrence. In select patients, surgery for debulking of cancer is also an option. It is important to stress again that you, in consultation with your doctor, should set realistic goals for what to expect from treatment. This may mean weighing the possible positive outcomes of a new treatment against the possible negative ones. At some point, a woman may decide that continuing treatment is unlikely to improve her health or survival. A woman must be certain that she is comfortable with her decision whatever it is.

What is the most significant factor in determining a patient’s risk of recurrence?

One of the most significant factors in determining a patient’s risk of recurrence is the stage of the cancer at diagnosis:

What is the importance of recurrence treatment?

During treatment for recurrence, it is very important to have a continual dialogue with your doctor about the benefits of treatment, with respect to remission and survival, versus the risks of the side effects that hurt the quality of your life. If you do choose treatment in recurrence, there are several options based on your previous treatments.

When cancer returns, how to cope with it?

When cancer returns: How to cope with cancer recurrence. Use lessons from your initial treatment to give you confidence and strength as you face the anger and fear that come with a cancer recurrence. By Mayo Clinic Staff. Your cancer is back, and so are the shock and fear that came with your first diagnosis. The uncertainties are back, too, and you ...

What is cancer recurrence?

What is a cancer recurrence? When cancer returns after a period of remission, it's considered a recurrence. A cancer recurrence happens because, in spite of the best efforts to rid you of your cancer, some cells from your cancer remained. These cells could be in the same place where your cancer first originated, ...

Where does cancer recur?

Your cancer can recur in the same place it was originally located, or it can move to other parts of your body. Recurrence is divided into three categories:

How are cancer recurrences diagnosed?

Cancer recurrences are diagnosed just like any other cancer. Your health care provider might suspect a cancer recurrence based on certain tests, or you might suspect a recurrence based on your signs and symptoms.

Why is cancer recurrence so devastating?

Some people say that a cancer recurrence can be especially devastating because the strong support system they had after their first cancer diagnosis sometimes evaporates when the cancer recurs. Don't be afraid to reach out to friends and family again and communicate how they can support you.

What does it mean when cancer recurs at a distant site?

For most cancers, a recurrence at a site distant from where the cancer first began means the chance of cure is not good. All cancers are different, so talk with your doctor about what type of cancer you have and what can be done if it recurs at a distant site.

What emotions do you feel when you have cancer?

A cancer recurrence brings back many of the same emotions you felt when you were first diagnosed with cancer. Common emotions include: Distress. When you ended treatment for your initial cancer, you slowly started to move on with your life, thinking the cancer was gone. In the weeks, months or years that passed, ...

What to do after cancer treatment?

Cancer survivors: Care for your body after treatment. Simple steps can improve your sense of well-being and your quality of life after cancer treatment. Find out what you can do. By Mayo Clinic Staff. After your cancer treatment, as a cancer survivor you're eager to return to good health. But beyond your initial recovery, ...

How to help cancer patients recover faster?

Regular exercise increases your sense of well-being after cancer treatment and can speed your recovery. Cancer survivors who exercise may experience: Adding physical activity to your daily routine doesn't take a lot of extra work. Focus on small steps to make your life more active.

Why do people with cancer sleep so much?

Sleep problems are more common in people with cancer, even survivors. This can be due to physical changes, side effects of treatment, stress or other reasons. But getting enough sleep is an important part of your recovery.

How to get over cancer?

With your doctor's approval, start slowly and work your way up. The American Cancer Society recommends adult cancer survivors exercise for at least 150 minutes a week, including strength training at least two days a week. As you recover and adjust, you might find that more exercise makes you feel even better.

How to improve long term health after cancer?

The recommendations for cancer survivors are no different from the recommendations for anyone who wants to improve his or her health: Exercise, eat a balanced diet, maintain a healthy weight, get good sleep, ...

What to eat when you have cancer?

Vary your diet to include lots of fruits and vegetables, as well as whole grains. When it comes to selecting your entrees, the American Cancer Society recommends that cancer survivors:

Can a diet help prevent cancer?

It's not known if a certain diet or certain nutrients can keep cancer from recurring . Studies examining low-fat diets or diets that contain specific fruits and vegetables have had mixed results. In general, it's a good idea to eat a varied diet that emphasizes fruits and vegetables.

How long does it take for cancer to come back?

Still, some cancer cells can remain in your body for many years after treatment. These cells may cause the cancer to come back one day. For cancers that return, most do so within the first 5 years after treatment. But, there is a chance that cancer will come back later. For this reason, doctors cannot say for sure that you are cured. The most they can say is that there are no signs of cancer at this time.

How to estimate prognosis?

Doctors estimate prognosis by using statistics that researchers have collected over many years about people with the same type of cancer. Several types of statistics may be used to estimate prognosis. The most commonly used statistics include: 1 Cancer-specific survival#N#This is the percentage of patients with a specific type and stage of cancer who have not died from their cancer during a certain period of time after diagnosis. The period of time may be 1 year, 2 years, 5 years, etc., with 5 years being the time period most often used. Cancer-specific survival is also called disease-specific survival. In most cases, cancer-specific survival is based on causes of death listed in medical records. 2 Relative survival#N#This statistic is another method used to estimate cancer-specific survival that does not use information about the cause of death. It is the percentage of cancer patients who have survived for a certain period of time after diagnosis compared to people who do not have cancer. 3 Overall survival#N#This is the percentage of people with a specific type and stage of cancer who have not died from any cause during a certain period of time after diagnosis. 4 Disease-free survival#N#This statistic is the percentage of patients who have no signs of cancer during a certain period of time after treatment. Other names for this statistic are recurrence -free or progression-free survival.

How do doctors estimate the prognosis of cancer?

Doctors estimate prognosis by using statistics that researchers have collected over many years about people with the same type of cancer. Several types of statistics may be used to estimate prognosis. The most commonly used statistics include:

Why can't statistics be used to predict cancer?

Because statistics are based on large groups of people, they cannot be used to predict exactly what will happen to you. Everyone is different. Treatments and how people respond to treatment can differ greatly. Also, it takes years to see the benefit of new treatments and ways of finding cancer. So, the statistics your doctor uses to make a prognosis may not be based on treatments being used today.

What is overall survival?

It is the percentage of cancer patients who have survived for a certain period of time after diagnosis compared to people who do not have cancer. Overall survival. This is the percentage of people with a specific type and stage of cancer who have not died from any cause during a certain period of time after diagnosis.

What are the factors that affect prognosis?

Many Factors Can Affect Your Prognosis. Some of the factors that affect prognosis include: The stage of the cancer, which refers to the size of the cancer and if it has spread to other parts of your body. The cancer’s grade, which refers to how abnormal the cancer cells look under a microscope. Grade provides clues about how quickly ...

What is cancer specific survival?

Cancer-specific survival is also called disease-specific survival. In most cases, cancer-specific survival is based on causes of death listed in medical records. Relative survival. This statistic is another method used to estimate cancer-specific survival that does not use information about the cause of death.

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