Diagnosed stage 4 in 2002. Been on one treatment or another for the past 5 years. CA125 up to 5000 in the fall yet two PtCts (over 2 1/2 months) were negative, Finally, a few days ago a regular Cat scan showed low volumn peritoneal disease present. It was decided that this was an ideal time to do a Lap procedure at NYU and have an IP port put in. This will be followed by IP topotecan the following week, three days in a row every 3-4 weeks. My doctor feels this will be the most effective way to proceed. Has anyone out there had this procedure and subsequent treatment? I would like to know what I am in store for now!