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Ovarian cancer detected

Hi, My mother had a severe abdomen pain due to which we admitted to hospital and did few scans. The scans showed a 12cm cyst on left ovary and 3cm cyst on right ovary. Doctor suggested immediate removal of cysts along with ovary. But during operation, the surgeon felt the uterus dint look healthy and did a total hysterectomy. The parts were sent for biopsy & the biopsy report said it was invasive carcinoma-serous adenocarcinoma, low grade with capsule intact and lymphovascular invasion seen.We got a abdomen and pelvis CT scan done and report looks normal. Now one oncologist says we have to get a ometectomy immediately which again after biopsy if abnormal, should be followed by chemos. V took a second opinion from another oncologist who says they will monitor the patient by doing a CT125 every 2months for few months and see the count. If count is normal, no treatment else they should do omentectomy and few chemos. Please advise as to who is going in right path. CA125 before surgery
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Doctor Answers (3) on Ovarian cancer detected

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Dr. Kaushal Yadav Gurgaon | Surgical Oncologist
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Your treatment is incomplete. Staging laparotomy with debulking include omentectomy and lymph node sampling/ Lymphadenectomy. So your further treatment is complete the surgery followed by chemotherapy as per histopathology.
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Dr. Shubham Jain Delhi | Surgical Oncologist
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Please share details histopath report. From your description it seems, omentectomy is better option
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Dr. Sandeep Nayak Bangalore | Surgical Oncologist
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I'm summary your mother has an incompletely staged ovarian cancer. I need to see the pathology report to understand more. However, from the information provided by you, considering that she has grade 1 disease in stage 1, she needs to go for completion surgery (omentectomy and lymph node dissection) as she can avoid chemotherapy. There is no role for observation in her case.
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