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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.
September 21
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A MyOvarianCancerTeam Member

Hi Rosalind,
I was curious so I researched the decision . Your doctor is using standards of care based on your dx. Monitoring using state of the art methods would be my goal.
Here is the info:

Yes, your oncologist's plan to forego maintenance medications after completing chemotherapy for stage 1c1 mucinous tumor of low malignant potential (LMP/borderline tumor) aligns with standard oncologic guidelines
.✅ Understanding Your Treatment PlanStage 1C1 Definition: Means the tumor capsule ruptured during surgical removal (surgical spill).
LMP/Borderline Nature: These tumors have low malignant potential, meaning they are non-invasive and grow slowly.
No Maintenance Standard: Adjuvant maintenance therapies (like targeted drugs or continuous chemo) are not standard or proven beneficial for early-stage LMP tumors after primary treatment.

Surveillance Focus: Care shifts completely to active monitoring and regular physical exams or imaging rather than active medication.📊
Recommended Post-Treatment Steps
Routine Imaging: Periodic pelvic ultrasounds or scans as ordered by your specialist.
Blood Markers: Monitoring tumor markers like CA-125 if they were elevated initially.
Long-Term Follow-Up: Consistent clinical visits, since borderline tumors can occasionally recur years later.
Appendix Check: Ensuring your medical history cleared or evaluated the appendix, which is standard for mucinous subtypes.

Hope this helps, especially monitoring the appendix.
Sending hugs, Kaye🥰

September 28
MyOvarianCancerTeam

That's a great question to think critically about! Maintenance therapy decisions are highly individualized, and your oncologist's recommendation is based on several factors specific to your situation.

Maintenance therapy is generally considered for people with advanced ovarian cancer, particularly those at higher risk of Show Full Answer

That's a great question to think critically about! Maintenance therapy decisions are highly individualized, and your oncologist's recommendation is based on several factors specific to your situation.

Maintenance therapy is generally considered for people with advanced ovarian cancer, particularly those at higher risk of relapse. For earlier-stage diagnoses, the calculus can be quite different. Doctors typically weigh factors like these when deciding on maintenance therapy:

- Stage and spread of the cancer
- Gene mutations present in the tumor (such as BRCA)
- How well the cancer responded to initial chemotherapy
- Overall risk of the cancer returning

For earlier-stage ovarian cancer that responded well to chemo, skipping maintenance therapy can sometimes be the right call — it means avoiding potential side effects when the benefit may be minimal. That said, it's always okay to ask your oncologist to walk you through their reasoning. Questions like "What is my risk of relapse?" and "Would my BRCA status change this recommendation?" are completely valid to raise. A second opinion from another gynecologic oncologist is also always an option if you want extra peace of mind. 💙

September 21

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