Concluded Case

what is best management for low wbc count & cramps& surgery??

a case of ca ovary Chief Complaints abdominal cramps wbc not increase with G-CSF History case Diagnosis on 09/05/2020 then CECT of abdomen done size of tumor 9×11×10 cm in both ovary then go with chemotherapy regime paclitaxel+ carboplatin 3 cycle interval of 21 days Repeat CECT on 21/07/2020 then tumor size constant after change chemotherapy regime with lipdox+cisplatin for 3 cycle interval of 21 days now Reapat CECT on 26/09/2020 then size of tumor increase reach upto 21×18×20 cm in both ovary then another chemotherapy regime change with Bevacizumab+irnotecan for 3 cycle interval of 21 days Repeat CECT on 26/12/2020 then size of tumor 13×17×18 cm now patient continue with another 3 cycle of Bevacizumab+irnotecan.. Investigations ca-125 on 12/05/2020-513U/ml 14/07/2020-164.3U/ml 20/10/2020-248.3U/ml 19/01/2021-30.5U/ml 01/03/2021-37.7U/ml Diagnosis ca ovary Management what is next line treatment?? when to go towards surgery??

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Concluded answer

This is a clinical decision. Need to assess the abdomen to see if it's operable. Also need to see the CT scan closely to decide the extent of surgery.

All Answers

This is a clinical decision. Need to assess the abdomen to see if it's operable. Also need to see the CT scan closely to decide the extent of surgery.

If possible surgery may be the best treatment for this patient

Surgery is the next option if feasible Decision should be of both medical and surgical oncologists Should give 6-8 weeks gap for surgery since the last bevacizumab, as it interferes the wound healing

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