Patient's question:
It's been a long time since the surgery, and there hasn't been much improvement. Is it possible it has spread? Has the advanced pelvic cancer spread? The family's financial situation isn't good. Should chemotherapy be considered? How long can conservative treatment be maintained? Will advanced pelvic cancer spread after surgery?Doctor's answer:
The pelvic cavity involves multiple organs, and a general term like "pelvic cancer" is incorrect. If it has metastasized to the pelvis, regardless of the type of cancer, the first choice is not surgical resection but rather neoadjuvant chemotherapy. Preoperative chemotherapy can effectively reduce cancer lesions and microscopic cancer cells, facilitating the surgery and prolonging the disease-free survival period postoperatively. Two to four cycles of chemotherapy are typically sufficient for surgical resection. Subsequently, consolidation chemotherapy should be continued to extend the survival period of patients after treatment.