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Suggest Treatment For Ovarian Carcinoma
Question: hello Doctor. please find attached my problem. I hope to hear from you very soon.
Thank you.
Thank you.
Brief Answer: XXXXXXX BSO + STAGING FOR OVARIAN CARCINOMA....explained
Detailed Answer:
Hello
Thanks for the query to hcm,
The fact that one ovary has a cyst which is more than 4cm in size and has intracavitary papillary soft tissues or septations which may indicate a ovarian carcinoma so it has to be ruled out first. You should get ovarian tumour markers done before ( CA 125, CEA, AFP, B-HCG).
The other ovary is dermoid and both tubes are swollen with hydrosalpinx and the presence of ascites indicates a probable spread of ovarian neoplasia. So as there is no fertility concerns at your end, you should undergo TAH+ BSO through laparotomy + frozen section during surgery and if atypical or malignant cells found or malignancy detected then staging should be done at the same time with bilateral pelvic lymphadenectomy and bilateral para-aortic lymph node dissection with complete omentectomy.
This is the complete operation which you need to discuss with your gynaecologist and take an informed decision.
regards
Detailed Answer:
Hello
Thanks for the query to hcm,
The fact that one ovary has a cyst which is more than 4cm in size and has intracavitary papillary soft tissues or septations which may indicate a ovarian carcinoma so it has to be ruled out first. You should get ovarian tumour markers done before ( CA 125, CEA, AFP, B-HCG).
The other ovary is dermoid and both tubes are swollen with hydrosalpinx and the presence of ascites indicates a probable spread of ovarian neoplasia. So as there is no fertility concerns at your end, you should undergo TAH+ BSO through laparotomy + frozen section during surgery and if atypical or malignant cells found or malignancy detected then staging should be done at the same time with bilateral pelvic lymphadenectomy and bilateral para-aortic lymph node dissection with complete omentectomy.
This is the complete operation which you need to discuss with your gynaecologist and take an informed decision.
regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Doctor for your views. I have had tumour markers done & it is clear. If I could summarise, you are recommending that I take the TAH+BSO operation right?
Tq & regards.
Tq & regards.
Brief Answer:
Yes
Detailed Answer:
yes if your tumour markers are clean then you should go for XXXXXXX and BSO.
Regards
Yes
Detailed Answer:
yes if your tumour markers are clean then you should go for XXXXXXX and BSO.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you Dr. Would you recommend also taking hormone pills post-surgery? And for how long.
Brief Answer:
answered
Detailed Answer:
Generally not every surgical menopause requires HRT. It would depend on how your body shall respond. There are many women who have reached menopause and with active lifestyle changes and healthy balanced diet and exercise have been able to continue an active life without the actual need of HRT.
Regards
answered
Detailed Answer:
Generally not every surgical menopause requires HRT. It would depend on how your body shall respond. There are many women who have reached menopause and with active lifestyle changes and healthy balanced diet and exercise have been able to continue an active life without the actual need of HRT.
Regards
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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