Page 8 - Guidelines Ovarian Surgery
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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)
8 • OVARIAN CANCER SURGERY - GUIDELINES •
