Patient Question:Disease:Erosive Staph Description:January 7, 2014, diagnosed with erosive staph, chemotherapy three times, one clearance, HCG of 20,000+ after removal of uterus and one ovary, cervix, ovary with grapes, cervix without. She was treated with chemotherapy once before and after surgery. Two times of chemotherapy after surgery, HCG was normal. A week after discharge from the hospital, the HCG was 1.44 and the normal value was 0 to 5. The local doctor said that the surgery had been performed and there was no need for chemotherapy. I don’t want to have chemotherapy, but I am afraid of recurrence. Hope to provide help:Please:What should I do? I am 47 years old and have had my hysterectomy again, with a score of 7 for stage 2. Do I need chemotherapy? How many times should I have chemotherapy? Thanks Gynecology Treatment process: three times chemotherapy is not good enough to remove the hysterus and one ovary Hospital gynecology reply: Hello! Do you mean that the HCG dropped to normal for the first time after 6 courses? That is, the seventh course is the first course of consolidation chemotherapy? If so, another course of chemotherapy is recommended. Because you are stage II 7 and older, 2 courses of consolidation are recommended. Patient Question: Thanks, after the 6th course, the HCG dropped to normal value 2.97 on May 7, normal value is 0 to 5, HCG 1,95 on May 12, normal value 0 to 3.1, 1.37 on May 19, normal value 0 to 5, then the 7th course, HCG 1,44 on June 3, normal value 0 to 5. Would you say that the possibility of recurrence is less or more because of the older age? Does stage II 7 mean spread to the ovaries? My lungs are fine and I recently had another CT, how come my doctor said to herself during the checkup that stage II is more curable than stage III, right? And I am afraid to ask, she has a particularly bad attitude. Do you mean I can just have another chemo session? Thank you very much for your help! Hospital gynecology reply: Older age is one of the poor prognostic factors, and recurrence is more likely. Stage II refers to the spread of the disease to the reproductive system beyond the uterus, including the ovaries. Stage II and III have similar prognosis and should both be good. Yes, one more course of chemotherapy. Patient Question: Thank you very much for your reply. What should I pay attention to in order to avoid recurrence? Hospital gynecology reply: For recurrence, the main thing is to follow up the HCG, no special diet. In addition, it is necessary to pay attention to strict contraception, the best use of condoms, so as to avoid another pregnancy HCG elevation and disease recurrence is not easy to identify.