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Doctor insights on: Staging Laparotomy Ovarian Cancer

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How is ovarian cancer different from metastatic ovarian cancer?

How is ovarian cancer different from metastatic ovarian cancer?

Related to spread: Metastatic refers to a cancer that has spread from the original site that it originated from to a more distant site in the body. For example, if a woman had ovarian cancer and it spread to the lungs then this would be consider metastatic disease. ...Read more

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Dr. Barry Rosen
4,363 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more


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Ovarian cancer, omental caking, spread though peritoneum --what is prognosis?

Ovarian cancer, omental caking, spread though peritoneum --what is prognosis?

Probably not great.: This seems like advanced disease that is relatively widespread. This would likely be treated with chemotherapy, like Paclitaxel and cisplatin.In cycles. This has been shown to have a 5 year survival of up to 20%. ...Read more

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History of early stage breast cancer have septated ovarian cyst?

History of early stage breast cancer have septated ovarian cyst?

Need more details: I highly recommend you consult your oncology team and get evaluated by a gynecology oncologist. Since you are <50, it makes me concerned about a brca mutations (if you have not been tested, then get tested!). Ovarian cancer and breast cancer can be related, especially if brca is positive. If you have a estrogen positive tumor, then stopping the ovaries from making hormone may be beneficial. ...Read more

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Colon cancer chemo necessary?

Colon cancer chemo necessary?

Depends on stage: Chemotherapy is never used for stage 1 cancers (early). It is sometimes used in stage 2 cancers (early but more advanced than stage 1). Chemotherapy is definitely beneficial in stage 3 cancers (locally advanced) and in stage 4 cancers (distant spread). ...Read more

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Ovarian cancer symtoms?

Ovarian cancer symtoms?

None specific, early: Unfortunately there are no specific symptoms in early disease, other than vague symptoms like bloating, abdominal discomfort etc. See the following site for more info. http://www.mayoclinic.com/health/ovarian-cancer/ds00293. ...Read more

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What is stage 3 ovarian cancer, how do you stage ovarian cancer?

What is stage 3 ovarian cancer, how do you stage ovarian cancer?

Stages I - IV.: Stage i ovarian cancer means the cancer is only located in the ovaries. Stage ii is when the cancer has spread to other organs in the pelvis, such as the uterus. Stage iii occurs when the cancer spreads beyond the pelvis to other abdominal organs and lymph nodes. Stage iv, the most advanced stage, means the cancer has spread (metastasized) to distant organs like the lungs or liver. ...Read more

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Ovarian serous cystadenoma is cancer?

Ovarian serous cystadenoma is cancer?

No.: This is a common benign ovarian tumor diagnosed by microscopic examination. ...Read more

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What is ductal incarcinoma (breast cancer )?

What is ductal incarcinoma (breast cancer )?

Breast Cancer: Learn more about intraductal carcinoma of the breast at: http://www.Intraductalcarcinoma.Net/. ...Read more

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Breast cancer, lymphadema, ovarian cysts,fibroid, atrophic kidney, gallbladder polyps, diverticula, appendicitis, osteoprosis, ddd are they connected?

Breast cancer, lymphadema, ovarian cysts,fibroid, atrophic kidney, gallbladder polyps, diverticula, appendicitis, osteoprosis, ddd are they connected?

Muliple issues: I would suggest that you seek a comprehensive medical evalaution: some GI symptoms may be related; however breast cance, ovarian cysts, kidney diease are all separate issues. Get yourself in the hands of an expert or experts-ASAP. ...Read more

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What to do about ovarian cancer, omental caking, spread though peritoneum --prognosis?

What to do about ovarian cancer, omental caking, spread though peritoneum --prognosis?

Can be helped: A radical resection of the omentum essentially removing the entire cake of tumor is performed eliminating vasucular permeability factor that leads to ascites. All peritoneal nodules are resected to smaller than 1 cm. and patient then placed on chemotherapy. Occassionally hyperthermic peritoneal chemotherapy lavage employed. Often patients may be cured if not helped in terms of survival. ...Read more

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Is an ovarian cystadenoma cancer?

No: These are benign tumors of the ovaries that can get very large and painful, but otherwise are not considered malignant. Surgical treatment can be indicated if they are symptomatic. ...Read more

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Dr. Liawaty Ho Dr. Ho
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Is mucinous cyst adenocarcinoma of ovary curable?

Dr. Liawaty Ho Dr. Ho
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Is mucinous cyst adenocarcinoma of ovary curable?

Depends: It depends on the stage. Early stage is curable with either surgery alone- vs surgery plus adjuvant therapy/chemotherapy . Advanced disease with distant spread even is very treatable however unfortunately is incurable. Please discuss further with your oncology team. ...Read more

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Ovarian cysts after treatment of ovarian cancer, help?

May be normal: Cysts are what ovaries make "for a living". An ovarian cyst, by itself, does indicated ovarian cancer. The reason for the cyst should be evaluated if it is persistent. Continued followup with the treating physician for ovarian cancer is indicated. ...Read more

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Is ovarian cancer genetic?

Is ovarian cancer genetic?

Sometimes: Certain genotypes such as the brca mutations have a higher incidence of ovarian cancer. ...Read more

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Is metastatic colon cancer curable?

Is metastatic colon cancer curable?

Possible: But less than 20% survive 5 years. Depends on where the metastases are and how numerous and size. Solitary liver mets without evidence elsewhere in the body can be cured with a liver resection. Diffuse mets to numerous body parts rarelyare curable. ...Read more

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Is ovarian cancer treatable?

Is ovarian cancer treatable?

It depends: It is treatable although the treatment and prognosis depends on the stage of the cancer. The smaller and more localized the cancer, the better the prognosis. ...Read more

Dr. Liawaty Ho Dr. Ho
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What stage colon cancer is pt4a pn1c?

Dr. Liawaty Ho Dr. Ho
2 doctors agreed:
What stage colon cancer is pt4a pn1c?

T4aN1c M?: Any evidence of spreading to other organ? If no spread- t4an1 means- stage 3b cancer. If evidence of sprading to other organ- it is a stage 4. ...Read more

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Dr. Ray Holt Dr. Holt
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How is ovarian cancer detected?

Dr. Ray Holt Dr. Holt
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How is ovarian cancer detected?

A few ways: Often it's asymptomatic until it's well advanced. If there's any early symptoms it's going to be vague ones that ladies are plagued with anyway like bloating and pelvic pain and bladder irritation. Testing 1st involves a pelvic exam (a small mass will be hard to feel), an ultrasound, possibly an MRI. A ca125 is a blood test that's usually elevated in ovarian cancer, but other things elevate it too. ...Read more

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Abdominal carcinamatosis from breast cancer metastasis?

Abdominal carcinamatosis from breast cancer metastasis?

Could Be: You have a known breast ca? Any other mets? Typically, one would expect mets to bone before abdomen. If pathology on both sites is the same then probably mets. If not, possible second primary (like ovary). Good luck. ...Read more

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Ovarian cyst & retroperitoneal adenopathy on CT scan. What is survival time?

Ovarian cyst & retroperitoneal adenopathy on CT scan. What is survival time?

Depends: Survival time will depend upon what the diagnosis is. The ovarian cyst and the enlarged lymph nodes may be unrelated to each other. You need further evaluation and biopsy of the enlarged lymph nodes if appropriate. ...Read more

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Im 20 ive 13cm simple ovarian cyst ca-125 is normal no family history of ovarian cancer is there medication for it? gyn said laparotomy& ovary removal

Im 20 ive 13cm simple ovarian cyst ca-125 is normal no family history of ovarian cancer is there medication for it? gyn said laparotomy& ovary removal

Ovarian cyst: Depending upon the type of cyst sometimes birth control pills may be used. If the cyst is symptomatic and needs removal, laparoscopic surgery is employed. If it is inordinately large or complex there are occasions when it may be necessary for the gyn surgeon to open you up and remove the cyst. ...Read more

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Does surgery cause ovarian cancer to spread?

Does surgery cause ovarian cancer to spread?

Not usually: The majority of ovarian cancers are diagnosed after it has already spread widely through the body. Surgery does not usually make this worse, but helps the treatment by decreasing the bulk of the cancer. ...Read more

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I need to know what is ovarian cancer treatment and surgery?

I need to know what is ovarian cancer treatment and surgery?

Surgery, maybe chemo: Ovarian cancer almost always requires surgery to remove the ovaries and any visible cancer. Many ovarian cancers also require treatment with chemotherapy; usually two drugs are used.Bthe treatment plan depends on the stage of the cancer and the particular subtype. ...Read more

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My doc thinks I have ovarian cancer. Who should do the surgery?

My doc thinks I have ovarian cancer. Who should do the surgery?

Ovarian cancer: Ovarian cancer is treated by a gynecologic oncologist. It is best treated by cytoreductive or staging surgery followed by chemotherapy in most cases. ...Read more

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If you have ovarian cancer can you freeze your eggs before your oophorectomy surgery?

Not recommended: If you have ovarian cancer, your first priority must be to have the ovaries and all possible cancer cells removed. Attempting to harvest eggs could potentially spread the cancer to other places in the abdomen and cause delays in your cancer treatment. ...Read more

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I have ovarian cancer , I had surgery and chemo. It was only clear for a month and came back. What happens now , doctors say the can't cure it?

Assemble your team: Getting such bad news has to be overwhelming. There is always hope. You should get your team (family, doctors, friends, clergy, etc) and set goals that are realistic and achievable. Work toward these goals, changing them when necessary as you travel on your journey. ...Read more

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I completed chemotherapy for ovarian cancer. No cancer was detected in followup tests. Am i still at risk for cancer? #nqlu my chemotherapy started last sept. And ended in early jan. Last nov., i had surgery (hysterectomy). I have since had clean reading

I completed chemotherapy for ovarian cancer. No cancer was detected in followup tests. Am i still at risk for cancer?  #nqlu my chemotherapy started last sept. And ended in early jan. Last nov., i had surgery (hysterectomy). I have since had clean reading

Yes, you are.: You are always at a risk of your cancer returning. The higher your stage, the higher the risk. The goal of chemotherapy is to kill any cells that were not removed by surgery. Hopefully that worked and got every last cancer cell, but ovarian cancer has a nasty tendency to come back. Go here for the statistics: http://seer.cancer.gov/statfacts/html/ovary.html ...Read more

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Dont know if you know the dr I picked but I am convinced myself I have ovarian cancer I want an oopherectomy I am petrified of surgery is a laparoscopy a big deal?

Find trusted doctor: Before any surgery, i recommend finding a physician you can talk with and be sure to get a good history and exam first.It is critical to share your fear you have cancer, and say why you are convinced you do.The doctor should ask your perspective, and be open to your real emotions, and the two of you should decide how best to evaluate your problem. Short answer, laparoscopy less invasive than surgery. ...Read more

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It's more than 12 weeks post-surgery for stage 3 ovarian cancer. Is it too late to benefit from chemotherapy?

Unknown: Most oncologists prefer to treat patients with a malignancy like ovarian cancer within 12 weeks from their diagnosis. At 12 weeks post surgery you are right on the edge. However, i think most oncologists would want to treat you because of the nature of ovarian cancer. You should have restaging studies with a ct scan as well. Definitely ask your oncologist, as there are many variable here. ...Read more

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I had surgery for ovarian cancer & it was stage 1a & contained. No treatment required. Am i considered as survivor?

Yes: Was your cancer a borderline malignancy? Often if no treatment is required it's because the mass was considered borderline. But yes, you are a survivor (in more ways than one!). I'm sure your doctor recommended continued surveillance? So glad you caught it early! ...Read more

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Age 76, stg IV ovarian cancer, debulking surgery, 3 chemos. Ca 125 normal. Is lymphnode dissection advisable? Comment on quality vs quantity of life?

Quality of life: In end stage cancer quality of life is essential but patient 's decision is equally important. 76 yr old could be very healthy 76 , in stage IV some do respond well to chemo, will have quality & comfortable , remaining part of life , so choice should be left to the person. Also to follow the advice of doctors , if unsure to take a second opinion , treating md will be glad to refer. ...Read more

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If ovarian cancer suspect and ovary & lymph removed. Is biopsy done during surgery and how long til results? Will lymph biopsy results be done first?

Frozen section,,,: What is done during surgery for this or other operations for malignancy is usually a frozen section, not a biopsy. This is taken so the doctors know if there is tumor or if they got all the tumor if there is one. The results are reported at that time but it is preliminary. The official result comes after surgical dissection and examination and takes 2-3 days. Then the dr. Tells the pt. ...Read more

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My mother has stage 1c ovarian cancer ...But there has been spillage by surgery ..... But we had it operated within 2 weeks. Possibility of spreading?

Ovarian ca: With the spillage- there is always a possibility of spreading however I am sure your gyne-oncologist was able to perform a very good jod to remove everything and to take sample of tissue on the pelvic and abdominal area, correct?. Following surgery, your mother is recommended to get chemotherapy with combination of Carboplatin and Paclitaxel for her stage ic. Please discuss further with her doctor. ...Read more

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What does this mean I have ovarian cancer after surgery and chemo it returned in a month . Now diagnosis is cancer metastic to peritoneum and to liver?

What does this mean I have ovarian cancer after surgery and chemo it returned in a month . Now diagnosis is cancer metastic to peritoneum and to liver?

TIME 4 NEW TREATMENT: I assume recurrence occurred 1 month after completing chemo, this is considered platinum resistant disease. Options - bevacizumab, liposomal doxorubicin or clinical trial looking at a new experimental drug for platinum resistance. Talk to your oncologist. ...Read more

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Is there a gyno-oncologist in my area that will work with an obese female? My primary dr diagnosed me with ovarian cancer. He is a medical oncologist and cannot do surgery. He sent me to gyno-oncologist in hawthorne and he said he could not do anything w

Is there a gyno-oncologist in my area that will work with an obese female? My primary dr diagnosed me with ovarian cancer. He is a medical oncologist and cannot do surgery. He sent me to gyno-oncologist  in hawthorne and he said he could not do anything w

I : I agree with dr doherty's response and encourage you to seek another opinion. Many gynecologic oncologists are quite comfortable operating on obese women. That being said, it may be possible that Megace (megestrol) treatment is the best option for you at this point. ...Read more

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My mom, ovarian cancer, stage iiib, had the second surgery, the abdomen is hard and heavy seems, she felt uncomfortable, what is symptomatic?

My mom, ovarian cancer, stage iiib, had the second surgery, the abdomen is hard and heavy seems, she felt uncomfortable, what is symptomatic?

Not sure I...: ...Understand your question. If you are asking for the meaning of "symptomatic", then dr. Legha answered your question. If not, you may want to restate it. Either way make sure your mother's oncologist is aware of any new developments. Best to you both. ...Read more

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Hi.Ovarian cancer, spread to bowel.Was considered for HIPEC but spread to small bowel means surgery not possible.Any alternatives to palliative chemo?

Hi.Ovarian cancer, spread to bowel.Was considered for HIPEC but spread to small bowel means surgery not possible.Any alternatives to palliative chemo?

Here are my suggesti: Ovarian Cancer often involved multiple organs in the abdomen including the small bowel. In fact the bowel involvement is very common. Because of the above reasoning, surgery(often called Debulking surgery) is commonly done first treatment for optimum results. Chemotherapy is often done following surgery(with a few exceptions where Neoadjuvant chemotherapy (done first, before surgery) is preferred. ...Read more

Staging (Definition)

Many diseases have specific treatments based on their severity. A disease can have certain criteria to determine their severity and applying this criteria to determine how advanced the disease state is called staging. Most commonly this is applied to cancer, and be determining how far the cancer has spread locally and/or to distant sites a stage of cancer can be ...Read more


Dr. Jon Krook
924 doctors shared insights

Laparotomy (Definition)

Laparotomy is abdominal surgery. Often, special enemas are sufficient to treat intussusception. If not, a ...Read more