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32-year-old pregnant woman found to have R ovarian mass. Deferred excision until after delivery.
Ultrasound: 5.8 cm R adnexal mass, predominantly solid.
Abd/Pelvic CT: 5cm cystic/solid adnexal mass, no adenopathy, no ascites.
Chest X-Ray normal.
CA 125 = 24
R adnexa: complex cystic mass incorporating the R ovary/tube.
Uterus was normal. Omentum was without disease. No obviously enlarged retroperitoneal lymph nodes.
R ovary: 2.5 cm low grade (Grade 1 of 3) clear cell carcinoma. R tube negative. Capsule intact.
Omentum negative. Large bowel adhesions: fibrofatty tissue w/small cluster of benign glands. 0/5 LNs positive (1 R aortic, 2 R pelvic, 2 L pelvic)
Surgery: Exploratory laparotomy with R salpingo-oophorectomy (RSO) and excision of adnexal mass.
Restaging: Omentectomy/LN sampling