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Advice needed from oncosurgeon. She is 30 with 2 babies, has history of PCOD and delay menstrual. Breast cancer 3rd stage. No sign of metastatic. Right side Mastectomy with lymph node removal: Dec 2016 Chemo, radio: 2017 herceptin 2017-18 Currently on tamoxifen 20 mg PET scan Aug 2018, finding - 30x18 mm left adnexal solid mass with 12.7 SUV uptake. After PET SCAN test-CA 125, 15.3, usg abdomen, usg vaginal, mammography left side- all normal. Repeat PET SCAN Dec 2018- reports same left adnexal mass. Reports shown to 2 docs- 1 says will remove left whole ovary including mass by open surgery because if it is cancer so there is Chance of spread so open surgery will be best. Another doctor says 4 pin hole surgery to be done to remove mass. Then will check mass in lab. If mass will be suspicious then will remove left ovary whole. Now my problem is - I should follow which doctor advice? Doctor 1 or doctor 2. Request advice. please let me know if any further test is required and which doctor I follow.
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Few advises from my side: surgery is needed. But, please consult surgical oncologist for proper planning. Surgery can be laparoscopic or open. Depends on the expertise of the surgeon. Proper handling of tissues is important. I prefer laparoscopic in most cases. She needs to undergo genetic test to assess her risk profile for other cancers.
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