She underwent staging laparotomy
, left salpingoophorectomy, left pelvic lymphadenectomy, peritoneal lavage, infracolic omentectomy and right ovarian cystectomy.
Double cancer of the ovary and endometrium was suspected, and a staging laparotomy
After biochemical evaluation and assessment of risk score for malignancy, the patients had laparotomy with prior counselling for staging laparotomy
. During the laparotomy, the specimens were sent for frozen histopathological examination.
Thickening, nodularity, soft tissue stranding and enhancement are all signs of peritoneal carcinomatosis, however, microscopic spread of disease cannot be ruled out by any imaging modality alone and a full staging laparotomy
is always required.11,14 It is important to determine exact extent of peritoneal disease as it changes the staging of disease, treatment plan and prognosis of patient, i.e.
Intraoperative frozen section was performed in women with tubal thickening or gross evidence of a tubal mass (conditions like hydrosalphix, haematosalphinx, or simple cysts associated with or without adnexal torsion or a strong suspicion of fallopian tube tumour) by palpation during the surgical procedure and, if the frozen section revealed fallopian tube cancer, we proceeded with staging laparotomy
which consisted of obtaining samples of peritoneal fluid washings from 5 sites (pouch of douglas, bilateral paracolic gutters, and bilateral subdiaphragmatic areas) in the peritoneal cavity following a saline wash in the absence of obvious ascites.
He had a history of Hodgkin's lymphoma (HL), diagnosed 20 years earlier, and had undergone a staging laparotomy
and splenectomy (intraabdominal nodes and spleen not involved, stage IIA).
She underwent extensive surgery: total abdominal hysterectomy, appendectomy, omentectomy, staging laparotomy
, lymph-node dissection, and resection of pelvic implants.
A staging laparotomy
is the standard approach for diagnosing and confirming the presence of ovarian cancer.
But none of the decisions made at the staging laparotomy
were affected by the preoperative CT scan results even in cases where high-risk cancer was identified, Dr.
However, when invasive cancer found at the time of surgery, the surgeon should be prepared to proceed with staging laparotomy
for appropriate treatment.
Four of these 11 patients also underwent extensive staging examinations and additional biopsies (one patient underwent a staging laparotomy
revealed large right side ovarian tumour of clinical FIGO Stage III.