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7000 Gynaecology & Obstetrics

A 60 yr old woman came to OPD with distended abdomen and postmenopausal bleeding. Imaging suggests bilateral ovarian complex masses with a CA 125 value of 1500. A comprehensive surgical staging is planned. Per operatively, bilateral ovarian masses are seen with surface involvement and ascites. There is no pelvic or extrapelvic extension of tumor or lymph node involvement. What is the appropriate treatment?

AMaximal cytoreduction surgery
BHysterectomy + Bilateral salpingo-oophorectomy
CProceed with surgical staging with hysterectomy + Bilateral salpingo-oophorectomy followed by adjuvant chemotherapy
DBilateral salpingo-oophorectomy followed by adjuvant chemoradiation
Gynaecology & Obstetrics
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