Conversation: The conversation between human and AI assistant.
[|Human|] my wife suneeta diagonosed overy cancer in the month of noe 2009, it was 3rd stage, However after 3rd chemo with paclitaxal& carboplatinum,her CA-125 was 100,the doctor who gave her chemo suggested to go ahead with 4th chemo but surgeon said we will operate her ,after operation, following chemo did not work & her CA-125 went to 11000u/ml.My quetion to all surgeon & physition in this world is, when she was respondind well to chemo was operation necessary! After operation she developed Adhesions& metastatics, Now we are helpless WHAT DO I DO, PLEASE SUGGEST ME.
[|AI|]  Hello! Good Day! I've read your concerns and feel sorry for your wife.  The surgery might be necessary to get all remaining tumors and decrease the tumor load of your wife.  Ovarian cancer metastasis is really known to be messy and produce a lot of adhesions and metastasis.  Adhesions/metastasis can only be treated with surgery.  If I was the treating surgeon, tumor debunking, peritoniectomy, plus intro operative peritoneal chemotherapy (HI PEC) will ad Chat Doctor.  However, if the adhesions/metastasis are unresectable, palliative treatments will be the last option (colostomy for obstruction, tubes for feeding).