Table 3.

Surgeries for abnormalities in ovarian surveillance

Patient (no)	Age	Indication	CA-125 (U/ml)	Additional information	Surgery	Pathology and follow-up
1	56	Cyst of right ovary with TVU	9	Persistence of cyst in several visits	→ BSO	Normal → return to surveillance program
2	47	Irregular process right ovary with clinical examination	15	CT scan confirmed clinical examination	→ BSO and hysterectomy (preference of the patient)	Mature teratoma → stop surveillance
3	56	Cyst of right ovary with TVU	2.3	Persistence of cyst in several visits	→ BSO (hysterectomy in medical history)	Normal → stop surveillance
4	72	Referral by surgeon because CT scan exposed adnexal mass (taken because of coloncarcinoma follow-up)	162.6	Enlarged left ovary with TVU	→ SO (hysterectomy and removal of right ovary in medical history)	Borderline malignancy → exclusion from surveillance
5	50	High CA 125	316	CT scan because no abnormalities at surveillance → enlarged right ovary	→ Abdominal exploration → optimal debulking	Adenocarcinoma of the ovary stage IIIC → chemotherapy → patient died after 5 months
6	41	High CA 125	81	Additional consult and TVU	→ SO	Normal → return to surveillance program
7	42	High CA 125	42.4		→ Diagnostic laparoscopy	Normal → return to surveillance program
8	45	High CA 125	51.0		→ Diagnostic laparoscopy	Normal → return to surveillance program

TVU transvaginal ultrasound; (B)SO (bilateral) salpingo-oophorectomy