15th June 2021

An 86-year-old woman presents with a large left-sided pelvic mass

An 86-year-old woman presents with a large left-sided pelvic mass. She complains of pain associated with the mass and finds herself easily satisfied from meals. On examination, she appears pale and cachetic. There is gross abdominal distension and a firm mass is palpable over the left iliac fossa. Examination of the chest revealed reduced chest expansion and stony dullness on percussion over the right lower chest. A pelvic ultrasound and MRI of the pelvis have both identified features suspicious of an ovarian malignancy.

How would you counsel her regarding her management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.