151 Supplementary files Information for interviewer, to add when the interviewed doctor elaborates on his/her answer: She has no actual child wish anymore. She wishes to stay alive as long as possible, but she also values her quality of life very much. Case continuation: Within this consultation the decision is made to perform surgery. During surgery, where uterus and both adnexa are begin removed, it comes about there are peritoneal metastasis. What are your next steps? What do you discuss with your patient after surgery? Case continuation: Patient is being treated with chemotherapy, which she handles well. But after nine months she has increasing complaints, especially a growing abdominal circumference. CT-scan shows ascites and signs of metastasis within the abdomen. What do you discuss with your patient now? Case 2 Case introduction: An 80-year-old patient is being referred with the suspicion of ovarian cancer. CT-scan shows enlarged adnexa right, suspect of a malignancy. No other findings described. Her previous history notes hypertension and diabetes. She had knee surgery last year. She is single. What would you, as her treating doctor, do in your patient workup and patient consultation and what would you advise to her? Information for interviewer, to add when the interviewed doctor elaborates on his/her answer: She wishes to stay alive as long as possible, but she also values her quality of life very much. Case continuation: Within this consultation the decision is made to perform surgery. During surgery, where uterus and both adnexa are begin removed, it comes about there are peritoneal metastasis. What are your next steps? What do you discuss with your patient after surgery? Case continuation: Patient is being treated with chemotherapy, which she handles well. But after nine months she has increasing complaints, especially a growing abdominal circumference. CT-scan shows ascites and signs of metastasis within the abdomen. What do you discuss with your patient now? A
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