“Shirley ” is a 60-year-old woman who pre-sented with abdominal pain and distension 10 years ago. Following a total abdominal hysterectomy, bilateral salpingo-oophorec-tomy and omentectomy she had been diag-nosed with an International Federation of Gynecology and Obstetrics stage IC poorly differentiated endometrioid cancer of the ovary and had subsequently received six cy-cles of carboplatin, cyclophosphamide, doxorubicin, and ifosfamide. She was well until 3 years ago, when a computed tomog-raphy scan showed extensive disease in the omentum and pelvis. A laparotomy revealed inoperable intra-abdominal disease that was
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Whitworth et al. (2003) studied this question.
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