[MOL] Education SEries-Ovarian Cancer, Part II [01978] Medicine On Line


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[MOL] Education SEries-Ovarian Cancer, Part II



In continuing this first series of Educational Series of Ovarian Cancer.

If you missed the first segment pls send an e-mail to me and I will

e-mail the first segment.   



Stage I ovarian epithelial cancer



                   All women who have ovarian cancer should have

carefully performed surgical staging. Most women who have stage I

ovarian cancer will have a total abdominal hysterectomy/bilateral

salpingo-oophorectomy,  omentectomy, and biopsy of lymph nodes and other

tissues in the pelvis  and abdomen. Depending on the pathologist's

interpretation of the tumor cells, the specific cell type involved, and

the grade of the tumor (how  malignant it appears under a microscope),

additional treatment may be recommended after surgery. Treatment may be

one of the following: 



                     1.Systemic chemotherapy or intraperitoneal

radiation therapy. 



                     2.Careful observation without immediate treatment

in selected patients (watchful waiting). 







                   Stage II ovarian epithelial cancer



                   Treatment will include surgery to remove both

ovaries, both fallopian tubes, the uterus, and as much of the cancer as

possible (total abdominal hysterectomy and bilateral

salpingo-oophorectomy with tumor debulking). During the surgery, samples

of lymph nodes and other tissues  in the pelvis and abdomen are cut out

(biopsied) and checked for cancer.

                   After the operation, treatment may be one of the

following: 



                     1.Systemic chemotherapy. Clinical trials are

testing new drugs and combinations of drugs. 



                     2.External-beam radiation therapy to the abdomen

and pelvis. 



                     3.Intraperitoneal radiation therapy when only a

small amount of tumor is found. 







                   Stage III ovarian epithelial cancer



                   Treatment will include surgery to remove both

ovaries, both fallopian tubes, the uterus, and as much of the cancer as

possible (total abdominal hysterectomy and bilateral

salpingo-oophorectomy with tumor debulking). During the surgery, samples

of lymph nodes and other tissues in the pelvis and abdomen are cut out

(biopsied) and checked for cancer.  After the operation, treatment may

be one of the following: 



                     1.Systemic chemotherapy. Clinical trials are

testing new drugs and combinations of drugs. 



                     2.Clinical trials of intraperitoneal chemotherapy. 

                   A doctor may operate again to look for any remaining

cancer. 



                   Stage IV ovarian epithelial cancer



                   Treatment will probably be surgery to remove as much

of the cancer as  possible (tumor debulking), followed by systemic

chemotherapy. Clinical trials are testing new drugs and combinations of

drugs. 



                   Recurrent ovarian epithelial cancer



                   If the cancer comes back, treatment may be one of the

following: 

                     1.Systemic chemotherapy. Clinical trials are

testing new drugs and combinations of drugs. 



                     2.Surgery to relieve symptoms. 



                     3.Clinical trials of intraperitoneal chemotherapy.i



God Bless and hope this benefits.



marty auslander
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