I will have an interval debulking surgery next week. My PET scan shows NED after 3 cycles of chemo. I had enlarged para aortic lymph nodes initially. I have clear cell histology.
My oncologist wants to do laparatomy with complete lymphadenectomy (removal of all pelvic and para aortic lymph nodes). I went for a 2nd opinion and another doctor suggested laparoscopy and does not want to disturb lymph nodes at all.
There is controversy if there is any positive effect on survival when non bulky lymph nodes removed. The lymphatic system helps to contain and fight cancer. The other doctor suggested that immunotherapies don’t work in ovarian cancer because of severe insult on our immune system with chemo and aggressive debulking.
I am franticly reading all the available research articles. I am not going for a 3d opinion and have to make a decision by next Thursday.
Please share your thoughts and experiences. Thank you.