]> 2026-07-31T11:51:07+00:00 WBR0169 0 en Gastroscopy Observation with annual check-up Brain MRI Lumbar puncture Bronchoscopy Pathology A 38-year-old woman presents to the physician's office with complaints of abdominal distention for the past 5 weeks. The patient also reports lower extremity swelling that has worsened significantly in the past 2 months. On physical examination, the patient appears weak, pale, and cachectic with marked edema and bluish discoloration of the mons pubis, lower abdomen, and back. Following appropriate work-up, the patient is found to have large bilateral ovarian tumors with moderate ascites. Cytologic analysis of the ascitic fluid reveals several signet ring cells. Which of the following is the most appropriate next step in management? A Oncology 2020-10-27T23:34:17Z 2459150.4821412 WBR0169