Page 10 - Guidelines Ovarian Surgery

ALGORITHM 3 FOR EPITHELIAL OVARIAN CANCER SURGERY

Neoadjuvant chemotherapy x 3 courses

Progressive Disease No Progressive Disease

NO SURGERY Patient still not fit for Patient fit for major
surgery or persistence of surgery and tumour spread
Later reassessment compatible with complete
after additional tumour spread
courses incompatible with resection
complete resection

SURGERY (INDIVIDUAL INTERVAL DEBULKING
EVALUATION) SURGERY

10 • OVARIAN CANCER SURGERY - GUIDELINES •