Diagnosed with stage four ovarian cancer. Took colostomy. Seeds were left on the liver and diaphragm. What could it be?
Patient: Hi, I appreciate any assistance you could give me.  WIthout going into my aunts whole history, the brief version is that she was diagnosed with stage4 ovarian ca.  A massive debulking of  the abdomen was done as well as a T.A.H.  During SX, the Dr found that  the cancer was wrapped around her colon as well.  AT that time, she  was also  given a colostomy. Unfortunately seeds were left on the liver and diaphram as well as a small mass.  She is undergoing Chem at this  time.   I lost my 38yr old sister to  P.C, and my mother a few months ago from Lung Ca.  I am my aunts only caregiver and was wondering what your educated guess would be with regard to prognosis? I haven't asked her Oncologist to date because  she is always in the room with me and doesn't want to know.  My sister didn't want to know her prognosis  either but as her primary caregiver as well, I managed to catch her doc alone, so I was prepared as best  as I could be to lose her in 8 short  weeks. Doctor: Hello, I have gone through your query and understood your concern. According to above mentioned details, stage IV ovarian cancer overall median survival rate ~36 months and progression free survival ~17 months. As you have said debulking had done and residue has left, 5 year survival after surgical debulking with residual disease >2 cms is ~20%. 2 year survival rate for stage III+IV disease was 60%. Hope this helped you. Thanks.