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Appointment sheet: Vaginal adenocarcinoma (including DES-associated clear cell adenocarcinoma)

One page to bring and write on: your details, the questions for Vaginal adenocarcinoma (including DES-associated clear cell adenocarcinoma) plus your own, the words you may hear, what to bring, the treatments the standard of care names, and room for the answers and agreed next steps. What you type stays in this browser. Print it or save it as a PDF. New to all this? Start with the first 60 days. Orientation, not medical advice.

Tick the questions to print

All of this cancer's questions start ticked. Untick what does not apply; ticks are kept in this browser. .

Your own questions

Shared with the prep pack, so questions you add there appear here too.

Print or save as PDF

Use (or Ctrl+P, Cmd+P on a Mac). To keep a copy, choose Save as PDF as the destination in the print dialog. Only the sheet prints; the controls stay on screen. Your typed notes print where you typed them; empty fields print as ruled lines to write on.

Appointment sheet

Vaginal adenocarcinoma (including DES-associated clear cell adenocarcinoma)

Prepared with OnCo (onco.cc/prep/vaginal-adenocarcinoma/). Orientation, not medical advice; your team knows your case.

My details

Name
Date of appointment
Hospital and clinician
Who is coming with me

What I know, what is unclear, changes to discuss

Saved in this browser
What I know so far
What is unclear to me
Changes since last time

My questions

16 on the sheet
Newly diagnosed
  1. 1.What is my exact diagnosis, stage, and grade, and which tests established them?
  2. 2.Which biomarkers have been tested on my tumour (for example Prenatal DES exposure history, Vaginal adenosis on examination and biopsy, Immunohistochemistry to separate primary from metastatic adenocarcinoma, HPV and p16 status, FIGO stage), and what were the results?
  3. 3.Which subtype is my cancer, and does that change the recommended treatment?
  4. 4.Is germline (inherited) genetic testing recommended for me or my family?
Diagnosis
  1. 5.For my situation (diagnosis), which of the standard options do you recommend and why?
Early stage
  1. 6.For my situation (early stage), which of the standard options do you recommend and why?
Locally advanced disease
  1. 7.For my situation (locally advanced disease), which of the standard options do you recommend and why?
  2. 8.Am I a candidate for Cisplatin, and what side effects should I expect?
Recurrent or metastatic disease
  1. 9.For my situation (recurrent or metastatic disease), which of the standard options do you recommend and why?
  2. 10.Am I a candidate for Carboplatin, Paclitaxel / nab-paclitaxel, Pembrolizumab, and what side effects should I expect?
DES-exposed women
  1. 11.For my situation (des-exposed women), which of the standard options do you recommend and why?
Any stage
  1. 12.Are there clinical trials I could join, for example of Pembrolizumab?
  2. 13.Would a second opinion at a high-volume centre change anything, and can you help arrange it?
  3. 14.What supportive care (symptom control, nutrition, exercise, mental health, financial help) is available from the start?
  4. 15.I read that “No trial-based treatment exists; everything is extrapolated from cervical and ovarian cancer”. How does that affect my plan?
  5. 16.I read that “The natural history of late recurrence in clear cell tumours means decades of follow-up”. How does that affect my plan?

The words I may hear

Tests and results to bring

Diagnosis: Biopsy with immunohistochemistry to exclude metastasis; MRI and PET-CT staging; DES exposure history.

Biomarker results to ask for: Prenatal DES exposure history, Vaginal adenosis on examination and biopsy, Immunohistochemistry to separate primary from metastatic adenocarcinoma (PAX8, ER, CDX2, napsin A, HNF1 beta), HPV and p16 status (usually negative), FIGO stage (MRI, PET-CT), Mismatch repair and PD-L1 status (immunotherapy candidacy).

Scans and tests linked to this cancer: Colposcopy and excisional treatment (LEEP/LLETZ, cone), Histopathology & immunohistochemistry, MRI, PET/CT.

Bring copies of scan reports, pathology and blood results, and a list of every medicine and supplement.

The treatments I may be offered

From the standard of care recorded for this cancer; which apply depends on your stage and biomarkers. Ask which the team recommends and why.

Answers and next steps

Saved in this browser
What I was told
Agreed next steps, dates and who to call