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Correspondence
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Volume 352:1269-1270 March 24, 2005 Number 12
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Case 37-2004: Postmenopausal Bleeding and a Cystic Ovarian Mass

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 by Penson, R. T.
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To the Editor: Although the words "careful staging," "full staging procedure" and "optimal staging" were used in the discussion of Case 37-2004 (Dec. 9 issue),1 that of a woman who appeared to have early-stage ovarian cancer, one point deserves amplification. As Cannistra pointed out in his review of the management of ovarian cancer in the same issue, "biopsy of the para-aortic nodes is especially important in patients with disease that otherwise appears to be limited to the ovary, since such patients may have more advanced disease."2

The patient described in the Case Records may indeed have had an early-stage tumor, . . . [Full Text of this Article]




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