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Scholars Journal of Medical Case Reports | Volume-6 | Issue-11
A Soujourn beyond Palliation of Stage 4 Ovarian Cancer: Case II
R.S. Ravi Chandra
Published: Nov. 30, 2018 | 259 186
DOI: 10.36347/sjmcr.2018.v06i11.011
Pages: 934-943
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Abstract
This case report describes a patient diagnosed to have advanced Stage 4 Ovarian cancer malignancy on first visit during May 2015.Three major hospitals in Chennai had declared the case as inoperable and suggested only palliative chemotherapy and professed a bleak prospect, as the case belonged to stage 4b category and with Tumor marker CA 125 level being above 1000. However this case was operated and given an excellent recovery with complete remission within a short span of just 3 months, by a combination of surgery and Cryofreezing done on 21.5.2015, followed by a combination chemotherapy Immunotherapy and nutritional care. Patient attained complete remission by 1.8.2015 in a minor span of just 70 days with her CA 125 tumor marker level dropping down to below 35 within this period. A very minor relapse in one left iliac node with CA 125 again rising to 116 occurred in July 2016 after a lapse of 11 months, and was immediately dealt with by just cryofreezing of the node. No further chemotherapy was given. Tumor marker level returned to below normal level within a month and patient has absolute perfect remission till date, a period of well over 27 months. This case amply highlights the extreme usefulness of cryofreezing along with a multimodality approach which had affected a spectacular recovery of a declared inoperable case of very poor prognostic index.