Ovarian Cancer

This intra-operative photograph shows a Stage IIIC ovarian cancer prior to debulking. These cancers often intercalate between abdominal organs (as in this example). In this presentation the cancer adheres to structures in the abdomen like glue poured into a bowl of spaghetti. Optimal debulking often requires resection of portions of involved organs. Aggressive initial surgery is rewarded with dramatically improved overall survival.