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Management of early‐stage epithelial ovarian cancer
Author(s) -
Nagar Hans,
Dobbs Stephen
Publication year - 2007
Publication title -
the obstetrician and gynaecologist
Language(s) - English
Resource type - Journals
eISSN - 1744-4667
pISSN - 1467-2561
DOI - 10.1576/toag.9.4.243.27354
Subject(s) - stage (stratigraphy) , medicine , ovarian cancer , referral , gynecology , chemotherapy , disease , multidisciplinary team , multidisciplinary approach , general surgery , oncology , cancer , family medicine , nursing , paleontology , social science , sociology , biology
Key content• Approximately 30% of women presenting with epithelial ovarian cancer will have early‐stage (stage I) disease. • The multidisciplinary team is central to deciding the optimal management for these women. • Comprehensive surgical staging is important in determining the need for chemotherapy. • Although the combined ACTION and ICON 1 studies of chemotherapy showed an improved overall survival, both included large numbers of incompletely staged women.Learning objectives• To understand the problems in diagnosing early‐stage ovarian cancer and the need for referral to a multidisciplinary team in deciding on management. • To understand the importance of correct surgical staging and the possible need for chemotherapy. • To gain an understanding and awareness of the role of minimal access surgery and fertility‐sparing surgery.Ethical issues• Difficulties in diagnosing early‐stage ovarian cancer can lead to incomplete staging and, ultimately, have a negative effect on prognosis.Please cite this article as: Nagar H, Dobbs S. Management of early‐stage epithelial ovarian cancer. The Obstetrician & Gynaecologist 2007;9:243–247.