Mucinous ovarian cancer
Prepared with OnCo (onco.cc/prep/mucinous-ovarian-cancer/). Orientation, not medical advice; your team knows your case.
My details
What I know, what is unclear, changes to discuss
Saved in this browserMy questions
13 on the sheet- 1.What is my exact diagnosis, stage, and grade, and which tests established them?
- 2.Which biomarkers have been tested on my tumour (for example KRAS mutation, HER2 amplification, CK7 and CK20 pattern and SATB2 to exclude gastrointestinal origin, CEA and CA 19-9 rather than CA-125), and what were the results?
- 3.Which subtype is my cancer, and does that change the recommended treatment?
- 4.Is germline (inherited) genetic testing recommended for me or my family?
- 5.For my situation (early stage), which of the standard options do you recommend and why?
- 6.For my situation (advanced or recurrent), which of the standard options do you recommend and why?
- 7.Am I a candidate for Capecitabine, Oxaliplatin, Trastuzumab or related drugs, and what side effects should I expect?
- 8.For my situation (young women with stage ia disease), which of the standard options do you recommend and why?
- 9.Are there clinical trials I could join, for example of Trastuzumab deruxtecan, HER2?
- 10.Would a second opinion at a high-volume centre change anything, and can you help arrange it?
- 11.What supportive care (symptom control, nutrition, exercise, mental health, financial help) is available from the start?
- 12.I read that “No proven chemotherapy for advanced disease”. How does that affect my plan?
- 13.I read that “Trials cannot recruit enough patients”. How does that affect my plan?
Tests and results to bring
Biomarker results to ask for: KRAS mutation, HER2 amplification (about 20 percent), CK7 and CK20 pattern and SATB2 to exclude gastrointestinal origin, CEA and CA 19-9 rather than CA-125.
Bring copies of scan reports, pathology and blood results, and a list of every medicine and supplement.
The treatments I may be offered
- Early stage: Unilateral salpingo-oophorectomy or hysterectomy with staging; appendicectomy if abnormal; chemotherapy usually omitted for stage IA and IB. (Ovarian cancer)
- Advanced or recurrent: Cytoreduction; carboplatin-paclitaxel or gastrointestinal-type capecitabine-oxaliplatin; trastuzumab for HER2-amplified tumours in trials. (Capecitabine, Oxaliplatin, Trastuzumab, Carboplatin)
- Young women with stage IA disease: Fertility-sparing unilateral salpingo-oophorectomy with staging and close follow-up. (Ovarian cancer)
From the standard of care recorded for this cancer; which apply depends on your stage and biomarkers. Ask which the team recommends and why.