Page 3 - Ovarian Surgery Algorithms 2017
P. 3

ALGORITHM 2 FOR EPITHELIAL OVARIAN CANCER SURGERY

STAGE IIB-IIIB                                                                                        STAGE IIIC-IV

Upfront debulking surgery aiming                                                                      Patient fit for extended
        at complete resection*                                                                             radical surgery?

    Tumour extension              YES                                                                        NO
compatible with primary           NO
                                                                                                            Pathological
         debulking?                                                                                          assessment

              YES                                                                                      Neoadjuvant
                                                                                                      chemotherapy
                                                                                                       or palliation

                                                                                                      Algorithm 3

*With exceptions for IIIB (e.g., poor patient condition or very extensive miliary
disease on the bowel for whom NACT may be preferable)

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