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I'd encourage her to find a good gyn oncologist. She could start here with a search:
http://www.wcn.org/findadoctor/
I'm sorry. I'll be hoping for the best for her.
I want to echo the recommendation for a good gynecological oncologist. My mother was diagnosed with ovarian cancer more than 8 years ago now. She had an elevated CA-125 (but please note that this is non-specific and it may not be indicative of some form of cancer) and had had some gyn problems for a while.
Although her ob/gyn was not particularly concerned that it was advanced, he still referred her to a gynecological oncologist, and my mom's gynecological oncologist performed her hysterectomy. When he did the surgery, he found much more extensive disease than he had anticipated, with tumor implants all around her omentum (the abdominal cavity, essentially), but as a specialist he knew what to look for and he removed all of the tumor implants he found.
Her cancer was staged III-B, meaning it had spread around her abdominal cavity, but not to distant body parts yet. The five-year-survival rate for her type/stage of cancer was quite low, BUT: with the surgery and follow-up chemotherapy, she beat the odds, and is eight years out with no recurrence.
I
firmly believe that having her hysterectomy performed by the gynecological oncologist significantly improved her chances. A regular ob-gyn would not have been as skilled at locating and removing the tumor implants during the surgery - particularly since they were unexpected - and I really, really encourage you to encourage your sister-in-law to consult with a specialist.
I grateful to both my mom's regular ob/gyn (who sent her to the specialist) and to her gynecological oncologist. I hope your sister-in-law gets the same sort of care. Well, I hope that her blood test is aberrant and she's fine! But if not, I wish you are your family all the best as you go through this.