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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Multiple Masses Near Ovary

I was recently diagnosed with Primary Peritoneal Cancer (late June 2014). Since diagnosis I have had paracentesis every 5-7 days removing 4000+ cc of fluid each time. Am under going the following cycle for chemo: Week 1 Carboplatin \ Taxol, Week 2 + 3 Taxol only Week 4 chemo free week. Then cycle starts all over again. I just finished my first cycle. I have not had debulking surgery as there are multiple masses one being over 12cm near the ovary. Do you agree with the decision for no-debulking surgery until masses shrink? My GYN\Onc states they need to be around 1cm to be effective. I would like a 2nd opinion please.
Wed, 16 Sep 2015
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Oncologist 's  Response
GOOD MORNING. YOUR GYN/ONC IS RIGHT. CHEMOTHERAPY FOR 3 CYCLES IS REQUIRED TO REDUCE THE AMOUNT OF TUMOR SO THAT SURGERY WILL BE EASY AND EASIER TO REMOVE ALL TUMOR. AFTER SURGERY FURTHER 3 CYCLES WILL BE GIVEN. AND YES OPTIMUM SURGERY REMOVES ALL TUMOR EVEN LESS THAN 1 CM IN SIZE. FOR SURGERY TO BE EFFECTIVE CHEMO IS GIVEN FIRST.
REGARDS
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Suggest Treatment For Multiple Masses Near Ovary

GOOD MORNING. YOUR GYN/ONC IS RIGHT. CHEMOTHERAPY FOR 3 CYCLES IS REQUIRED TO REDUCE THE AMOUNT OF TUMOR SO THAT SURGERY WILL BE EASY AND EASIER TO REMOVE ALL TUMOR. AFTER SURGERY FURTHER 3 CYCLES WILL BE GIVEN. AND YES OPTIMUM SURGERY REMOVES ALL TUMOR EVEN LESS THAN 1 CM IN SIZE. FOR SURGERY TO BE EFFECTIVE CHEMO IS GIVEN FIRST. REGARDS