Connect with others who understand.

  •   Learn from expert-reviewed resources
  •   Real advice from people who’ve been there
  •   People who understand what you’re going through
Sign Up Log In
Powered By
Real members of MyOvarianCancerTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
January 27
 · 
Reactions
A MyOvarianCancerTeam Member

Dear Elisabeth, Have you been tested for KRAS Mutations? Helps in deciding which chemo to use.
Be sure to monitor with ca125 and He-4.
He-4 will be able to tell if chemo is working. It’s up to the oncologist how often to test. But was a good tool for my friend Cathy who had epithelial metastatic OC.
I’m hanging in there with you as well as our Teal sisters! A wonderful loving group!
🥰 Hugs Kaye

April 16
A MyOvarianCancerTeam Member

Hello Elisabeth,

I looked up using AI AND HERE ARE THE RESULTS.

For Stage 4 low-grade serous ovarian cancer (LGSOC) with metastasis to the sacrum, treatment focuses on a combination of surgical debulking, long-term hormonal management, and targeted therapies.

Because LGSOC is less responsive to traditional chemotherapy than high-grade types, clinical trials and specialized local treatments like radiation are often critical components of care.Standard Systemic TreatmentsHormonal Therapy:

This is a primary strategy for LGSOC as these tumors often have estrogen and progesterone receptors.

Common options include aromatase inhibitors like letrozole (Femara) or anastrozole (Arimidex), and medications like tamoxifen or fulvestrant.

Targeted Therapy:MEK Inhibitors:
Drugs such as trametinib (Mekinist) or the newly approved combination of avutometinib and defactinib (specifically for KRAS mutations) are used to block growth signals in LGSOC.Bevacizumab (Avastin):
An anti-angiogenesis drug often used alongside chemotherapy or on its own to cut off the blood supply to tumors.
Chemotherapy: Although response rates are lower for LGSOC, carboplatin and paclitaxel are still commonly used as a first-line starting treatment to slow disease progression

If I find out more data, will forward.
Sending big hugs 🥰 Kaye

April 16
A MyOvarianCancerTeam Member

My cancer is stage 4 low grade serous and inoperable. What are my options?

January 27
MyOvarianCancerTeam

What are the treatment options for stage 4 low-grade serous ovarian cancer with bone metastasis to the sacrum?

Stage 4 low-grade serous carcinoma (LGSC) typically involves a combination of treatments tailored to your specific situation.

Surgery is often a key part of treatment, focusing on debulking - removing as much tumor Show Full Answer

What are the treatment options for stage 4 low-grade serous ovarian cancer with bone metastasis to the sacrum?

Stage 4 low-grade serous carcinoma (LGSC) typically involves a combination of treatments tailored to your specific situation.

Surgery is often a key part of treatment, focusing on debulking - removing as much tumor as possible. This may include:
- Removal of both ovaries and fallopian tubes (bilateral salpingo-oophorectomy)
- Removal of the uterus (hysterectomy)
- Removal of other affected tissues or organs where cancer has spread

The goal is to remove visible tumors to help other treatments work better.

Chemotherapy is usually recommended as a starting treatment, though LGSC can be resistant to it, particularly platinum-based drugs like carboplatin. However, it does work for some people, so it's typically tried first.

Targeted therapy drugs like Avastin (bevacizumab) may be given along with chemotherapy. These medications attack specific molecules in cancer cells.

Hormone therapy can be particularly helpful for LGSC since these cancer cells often have hormone receptors. Drugs like tamoxifen or aromatase inhibitors (anastrozole, letrozole) may be given after chemotherapy to slow cancer growth.

Your treatment plan will depend on your overall health, age, and specific circumstances. It's important to work closely with a gynecologic oncologist who can guide you through these options.

January 27

Related Questions

View All
A MyOvarianCancerTeam Member asked a question 💭
San Diego, CA

A MyOvarianCancerTeam Member asked a question 💭
Spanish Fort, AL