A pelvic mass may present with abdominal distention from the mass, ascities, or both. M.D. Other considerations would include adnexal spread of endometrial cancer, colon cancer, or possibly an inflammatory mass associated with the bowel. Benign entities like a fibroid uterus may also be possible but are inconsistent with this patient's presentation. This patient is a candidate for surgical exploration, and tumor debulking. The surgical specimen is likely to include the uterus, tubes, ovaries, omentum, and possibly a portion of the bowel and lymph node sampling.
Colostomy is a possibility.
The urinary system also may be involved. A bowel prep is appropriate prior to surgery, which will be performed through a vertical incision. Ovarian epithelial carcinoma has a relatively high response rate. Generally, cis-platinum is used in six cycles of therapy. Maximum tumor debulking at surgery is critical.