staging should  be  performed.  A   salpingo-oophorectomy   of  the enlarged    ovary
should  be  done    and sent    for frozen  section evaluation.
Debulking   surgery.    If  ovarian carcinoma   is  confirmed,  then    a   debulking
(cytoreductive) surgical    procedure   should  be  performed.  This    procedure
usually includes    a   TAH,    BSO,    omentectomy,    and,    frequently, bowel   resection.
Chemotherapy.   Postoperatively patients    should  be  treated with    six courses of
a   standard    chemotherapy    regimen,    which   includes    Taxol   and carboplatin.
Patients    are followed    with    the tumor   marker  CA-125.
                    
                      kiana
                      (Kiana)
                      
                    
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