Ovarian Cancer - did anyone choose no surgery?

Posted by onthetrain @onthetrain, Dec 28, 2025

Surgery seems to be the standard to remove large tumors. I’m just wondering if anyone decided not to go that route?

Interested in more discussions like this? Go to the Gynecologic Cancers Support Group.

My tumour was 20 cm in diameter. I was told I had no choice if I was to survive. That was 15 years ago.

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I had large tumors, there was no doubt about surgery for me. I wanted to have a chance to live longer.

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@onthetrain Welcome to Mayo Clinic Connect and to our Gynecological Support Group. I'm tagging a few other members in our support group who have written and experienced ovarian cancer @sistermarcy @jhardy123 @jacquelineb68

I have a few questions that I think will help us to support you.

What is your oncologist's recommendation? Are there other treatments such as chemotherapy recommended prior to surgery? What other options are you considering?

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I was actually given a choice but I was diagnosed with what is called psomammas carcinoma of the ovary which is a low grade serous cancer. It was an incidental finding when I was admitted for diverticulitis. I was asymptomatic. My GYN oncologist gave me three options 1) do nothing as I was asymptomatic 2) do nothing and monitor or 3) treat. I chose to treat.

I had surgery to remove both my ovaries and fallopian tubes as well as an omentectomy. And I’m currently doing chemo therapy.

I wanted the best chance of survival plus knowing this indolent disease was growing in side me I didn’t want to take chances that if or when I became symptomatic it would be too late.

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