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Normative treatment of Ovarian Cancer

September 04, 2023


Standardized treatment of ovarian cancer is very important to the prognosis. Early stage ovarian cancer emphasizes comprehensive staging surgery, which can retain reproductive function for young patients with fertility requirements, tumors limited to one ovary and stage I patients of any grade. For patients with incomplete staging of the first operation, re-staging surgery should be performed before the start of chemotherapy. The surgical and pathological stages were I An and I B, and the patients with high differentiation did not need chemotherapy, while those with moderate differentiation could be observed or treated with chemotherapy. All patients with IC stage, poor differentiation, clear cell carcinoma, carcinosarcoma and other histopathological types with poor prognosis should receive chemotherapy for 3-6 courses.


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Surgical treatment should be the first choice for advanced ovarian cancer. Satisfactory tumor cell reduction is the basis of better curative effect. Neoadjuvant chemotherapy should not be used as a routine treatment for advanced ovarian cancer. The mode of basic operation + chemotherapy + intermittent tumor cell reduction has certain clinical practical significance. Paclitaxel plus carboplatin is a first-line chemotherapy regimen. The treatment of recurrent ovarian cancer puts more emphasis on individualization, attention should be paid to the surgical treatment of recurrent ovarian cancer, the choice of second-and third-line chemotherapy should be planned, and the quality of life of patients should be taken into account.

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