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Ca ovary laparotomy, is it recurrence?
Clinical Indication: Case of Ca ovary. Post ovarian laparotomy on 08/08/16 and tension band suturing on
28/08/16 for burst abdomen. Post adjuvant CT . Serum CA-125 = 12.1 u/ml , S. CA 19-9 = 114 u/ml
(1/9/18) .
Findings:
Uterus and gall bladder are not seen - postop.
There is perihepatic peritoneal thickening with few hypodense nodular lesions in perihepatic and
perisplenic region. Numerous enhancing as well as centrally necrotic peripherally enhancing
predominantly cystic serosal deposits also seen along bowel surface, largest measuring 4.3 x 2.3 cm in
size in right hemipelvis.
Answers (2)
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It is Ca.Ovary with pertioneal metastasis
Next Steps
3 cycles chemotherapy followed by CT scan to reassess.
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Dr. Archana Prathipati
Radiation Oncologist
14 yrs exp
Hyderabad
Needs maximum cytoreduction again and second line chemo...
What is the gap between prior treatment and recurrence...
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.