Do you routinely perform bilateral oophorectomy at the time of hysterectomy for a premenopausal woman with a uterine leiomyosarcoma that appears to be limited to the uterus?   

Since this is an unusual cancer, there is not a whole lot of data on this subject. Having said that, the literature has suggested that the chance of ovarian mets in a stage 1, 11 is 2-5%. As a result, this factor is not a major consideration in regards to survival. In a patient so presented, would n...