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Isolated lymph node recurrence prognosys for recurrent OVCA

Posted by Indrasis A.

My mother has had clear cell carcinoma that was diagonosed after total hysterectomy in march 2006. She was disease free for 21 months after receiving Cisplatin and Taxol. them a small mass in her omentum which was surgically removed and received doxil +cycophosphamide. Now after 7 months She had Isolated recurrence in her 1 lymph node (3c,x2cm) anterior to Aorta.Doc did not bother to treat and waited 3 months and CA 125 elevated to 536 from 128. Node became 3.2×4cm with another 2 very small nodes(1.5×2.2). She is now under Gem+Carbo.
Would she need a surgery for better prognosys Or Chemo can do the work alone as She is totally against surgery now.
Please Help.

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