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second look laparotomy for ovarian cancerFrom: Greg Le Toubib (ovadoc@pris.ca)Sun Apr 28 19:44:39 2002
I have a patient with Stage IB high grade serous adenoCA of ovary CA 125 was 8 before surgery( nl < 35). She refused chemo or even consult with the oncologist. Instead, she stopped smoking and went on herbs. Now one year later she has no evidence of disease by MRI and exam. Ca 125 undectectable ( I know the tumor does not make any of this marker). She does not want a laparotomy. Any suggestions? In a general sense, if a woman has a tumor that makes a marker and it remains neagative after chemo; does she still need a second look?
-- Greg Le Toubib
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