Page 2 - Ovarian Surgery Algorithms 2017
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ALGORITHM 1 FOR EPITHELIAL OVARIAN CANCER SURGERY

Metastatic disease and non-epithelial  Epithelial ovarian cancer
     tumours have been ruled out

                                       Surgical skills Available?

NO YES

Send patient to a multidis-          STAGE I-IIA     STAGE IIB-IV
ciplinary unit with surgery                          Algorithm 2
meeting the ESGO quality           TAH and BSO *
indicators.                  Comprehensive surgical

Do not abuse neoadjuvant              staging **
therapy

* Consider fertility preservation in selected young patients,
** With exceptions for retroperitoneal staging (see specific recommendations on surgery of early-stage ovarian cancer)

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