A 25 year old married nullipara undergoes laproscopic cystectomy for ovarian cyst which on histopath reveals ovarian serous cisadeno-carcinoma. What should be the next management?
Correct Answer: Serial Ca-125 measurement and follow up
Description: Here the patient is 25 years old nullipara and cystectomy sample shows serous cysadenocarcinoma - Probably the disease is limited to the ovary removed, hence to be called stage Ia.
Doing an oophorectomy here will suffice as the patient is young and nullipara. Next step is to follow the patient with regular CA 125 estimations. Though the levels of CA 125 are not specific but in this condition where the follow up is after a known cause there is ample sensitivity.
“Fertility preservation in early stage ovarian cancer - The uterus and the contralateral ovary can be preserved in women with stage Ia, grade 1 to 2 disease who desire to preserve fertility. The conditions of the women should be monitored carefully with routine periodic pelvic examination and determinations of serum CA 125 levels. Generally, the other ovary and the uterus are removed at the completion of childbearing.”
Category:
Gynaecology & Obstetrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now