A 58-year-old woman is diagnosed with a borderline mucinous ovarian tumor confined to one ovary (Stage IA) with no invasive implants. She has completed her family. What is the most appropriate surgical management?

• A Unilateral salpingo-oophorectomy only
• B Total abdominal hysterectomy with bilateral salpingo-oophorectomy ✓
• C Total abdominal hysterectomy with bilateral salpingo-oophorectomy and omentectomy
• D Unilateral salpingo-oophorectomy with adjuvant chemotherapy

Explanation

For postmenopausal women with borderline ovarian tumors who have completed childbearing, total abdominal hysterectomy with bilateral salpingo-oophorectomy is the standard treatment. Unlike invasive carcinoma, borderline tumors do not require extensive staging surgery with omentectomy unless invasive implants are present. Adjuvant chemotherapy is not indicated for Stage IA borderline tumors as they lack destructive invasion.

Reference: Bailey and Love's Short Practice of Surgery, 28th ed.

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Written and medically reviewed by the StethoPrep medical team.