sanz
Forum Elite
Topics: 14
Posts: 154
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Two days after surgery you receive the pathology report of ovarian tumour. It is mucinous adenoma with low malignant potential mixed with well differentiated carcinoma. The tumour has not invaded the ovarian capsule,lymphatica or mesovarium. Omental and retropenial lymph node biopsie and peritoneal washings are negative for tumour cell. You advise
1.biopsy of contralateral ovary.
2.removal of uterus and contralateral adnexa
3.postoperative chemotherapy
4.postoperative radiation therapy
5.no further therapy.
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| ELM
Forum Guru
Topics: 28
Posts: 936
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I'll go with 1.
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ELM
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| SA
Forum Elite
Topics: 21
Posts: 193
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5.no further therapy
and just follow up
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Wish best of luck to all users
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| lucky
Forum Guru
Topics: 23
Posts: 505
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2? removal of uterus and adnexa?
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| mikyro
Forum Junior
Topics: 0
Posts: 81
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Two days after surgery you receive the pathology report of ovarian tumour. It is mucinous adenoma with low malignant potential mixed with well differentiated carcinoma. The tumour has not invaded the ovarian capsule,lymphatica or mesovarium. Omental and retropenial lymph node biopsie and peritoneal washings are negative for tumour cell. You advise
1.biopsy of contralateral ovary.
2.removal of uterus and contralateral adnexa
3.postoperative chemotherapy
4.postoperative radiation therapy
5.no further therapy.
Isn't this tumor a mucinous cystadenocarcinoma? As far as I remember, the risk of recurrence in the contralateral ovary is very high. So, we must inform the patient about that and proceed with biopsy of the contralateral ovary.
Answer: 1
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the same miky - always ready to help my patients and friends as well
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| ELM
Forum Guru
Topics: 28
Posts: 936
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No Lucky, please don't take her female stuff away without knowing if they are bad, :lol: got to make sure her other ovary is ok first......if bad---->take it, if Ok--->she is fine for now.
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ELM
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| lucky
Forum Guru
Topics: 23
Posts: 505
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you people r right. the only reason i picked this option is that i wanted to remove this ovary and the contra one because oof high risk of recurrence and only b gave the choice. 
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