The Sacred Veil: VI. I’m Afraid

I'm afraid we found something...
Fifteen centimeter retroperitoneal cystic mass with complex internal septation...
The patient is a twenty-eight-year-old white female, primagravida, in the third trimester of pregnancy

I'm afraid we found something...
Pathology confirms grades I, II, and III mucinous cystic adenocarcinoma with focal carcinosarcoma consistent with ovarian primary
Recommend six cycles Taxol and Carboplatin...

I'm afraid we've found something...
...Two left adnexal cysts and a septated right adnexal cyst...

I'm afraid we've found something...
...Exploratory laparotomy and excision of bilateral ovarian dermoids

I'm afraid we've found something...
...Uterus, tubes, sacral pain ovaries recurrent, recurrent, recurrent...

Exploratory laparotomy
Total abdominal hysterectomy
Bilateral salpingo-oophorectomy
Paraaortic lymphadenectomy
Bone scans in sacrum, left ilium, right acetabulum
Metastasis...
Metastasis...
Metastasis...

I'm afraid we found something...
I'm afraid we found something...
I'm afraid.