How would you approach an adolescent patient with stage IIIC serous borderline tumor, s/p fertility sparing surgical staging with unilateral salpingo-oophorectromy, who presents with an enlarging contralateral ovarian mass and additional pelvic disease on imaging?

How would you approach an adolescent patient with stage IIIC serous borderline tumor, s/p fertility sparing surgical staging with unilateral salpingo-oophorectromy, who present with an enlarging contralateral ovarian mass and additional pelvic disease on

• Surgical debulking to include total hysterectomy, contralateral salpingo-oophorectomy, and resection of all visible disease
• Surgical debulking to include contralateral salpingo-oophorectomy, and resection of all visible disease without total hysterectomy, if possible
• Tumoral biopsy to rule out invasive disease prior to surgical exploration
• Other