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This correlates to another topic that has been debated in the literature, which is the use of bilateral salpingo-oophorectomies as a possible preventative measure of ovarian cancer in the TGNC community. There was no mention about chemotherapy or surgery, and the patient remained in the hospital and received palliative care. Stevens and Abrahm published another case report of a 67-year-old who was diagnosed with metastatic ovarian cancer and used exogenous testosterone.