Case #5
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Physical Exam
12/03/XX
32-year-old pregnant woman found to have R ovarian mass. Deferred excision until after delivery.
X-Rays & Scans
11/30/XX
Ultrasound: 5.8 cm R adnexal mass, predominantly solid.
12/01XX
Abd/Pelvic CT: 5cm cystic/solid adnexal mass, no adenopathy, no ascites.
12/01/XX
Chest X-Ray normal.
Laboratory
11/30/XX
CA 125 = 24
Operative Findings
12/03/XX
R adnexa: complex cystic mass incorporating the R ovary/tube.
4/14/XX
Uterus was normal. Omentum was without disease. No obviously enlarged retroperitoneal lymph nodes.
Pathological Reports
12/03/XX
R ovary: 2.5 cm low grade (Grade 1 of 3) clear cell carcinoma. R tube negative. Capsule intact.
04/14/XX
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)
Treatment
12/03/XX
Surgery: Exploratory laparotomy with R salpingo-oophorectomy (RSO) and excision of adnexal mass.
01/05/XX
Chemotherapy: Carbo/Taxol
04/14/XX
Restaging: Omentectomy/LN sampling



