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Case #5

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Expand Physical Exam

12/03/XX

32-year-old pregnant woman found to have R ovarian mass. Deferred excision until after delivery.

Expand 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.

Expand Laboratory

11/30/XX

CA 125 = 24

Expand 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.

Expand 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)

Expand 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