A 25 year old married nullipara undergoes laparoscopic cystectomy for ovarian cyst which on histopathology reveals ovarian serous cystadenocarcinoma. What should be the next management?
Serial Ca-125 measurement and follow-up
Hysterectomy and bilateral salphingo oophorectomy
Hysterectomy + Radiotherapy
Radiotherapy
The ovarian enlargement should be assessed by serum CA-125 and transvaginal sonography An ovarian enlargement >8cm during child bearing period deserves carefull follow up CA 125 value >35u/ml is suggestive of epithelial ovarian cancer D.C.DUTTA'S TEXTBOOK OF GYNECOLOGY,Pg no:377,6th edition
Gynaecological oncology