Page 3 - Ovarian cancer surgery - Guidelines for early stages
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Visual assessment of the entire peritoneal cavity is recommended.
Peritoneal washings or cytology, taken prior to manipulation of the tumour are is recommended
Blind peritoneal biopsies from the pelvis, paracolic spaces, and the subdiaphragmatic spaces bilaterally are
recommended.
At least infracolic omentectomy is recommended.
Bilateral pelvic and para-aortic lymph node dissection up to the level of the left renal vein with the exception of
stage I expansile type mucinous adenocarcinomas are recommended.
Restaging for the only purpose of performing appendectomy is not mandatory even in case of mucinous
histology if the appendix has been examinated and found normal.

Role of frozen section

The availability of frozen section may allow the necessary surgical staging to be done at the time of initial
surgery. It is understood that frozen section may not be conclusive and that definitive pathology is the gold
standard of diagnosis.
In the absence of frozen section or in case of inconclusive frozen section, a two-step procedure should be
preferred.

guidelines.esgo.org | esgo-guidelines@esgomail.org
Published October 2016 by European Society of Gynaecological Oncology
Copyrights: © European Society of Gynaecological Oncology
ESGO Ovarian Cancer Surgery Guidelines (early stage)_v1

                                                                                  OVARIAN CANCER SURGERY - GUIDELINES 
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