Certified Surgical Technologist (CST) Practice Exam

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What organs are excised if an ovarian tumor is malignant?

  1. Bilateral ovaries only

  2. Bilateral fallopian tubes and ovaries, uterus

  3. Unilateral involved ovary and fallopian tube

  4. Unilateral involved ovary and fallopian tube, uterus

The correct answer is: Bilateral fallopian tubes and ovaries, uterus

The excision of bilateral fallopian tubes and ovaries, along with the uterus, is standard in cases of malignant ovarian tumors due to the potential for metastasis and the aggressive nature of such tumors. When an ovarian tumor is found to be malignant, it poses a significant risk of spreading throughout the pelvic cavity and potentially affecting adjacent structures. The removal of both ovaries and fallopian tubes—along with the uterus—is aimed at reducing the likelihood of cancer spreading and ensuring that all potential cancerous tissue is removed. This procedure, known as a total abdominal hysterectomy with bilateral salpingo-oophorectomy (TAH-BSO), is a proactive approach to cancer management in such cases. Other options outline varying degrees of surgical intervention, but they do not adequately address the necessity of removing all potentially affected organs to manage the malignant disease effectively. By opting for a more extensive excision, the surgical team maximizes the chances of containing the malignant disease, ultimately supporting better patient outcomes.