NCCN Guidelines for Patients® | Ovarian Cancer - page 31

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Part 4: Treatment with surgery
NCCN Guidelines for Patients
®
: Ovarian cancer
Version 1.2013
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Definitions:
Biopsy:
Removal of small
amounts of tissue or fluid to
be tested for disease
Clinical stage:
Rating of
the extent of cancer based
on tests before treatment
Fallopian:
Organ eggs
travel through from an
ovary (organ that makes
eggs and hormones) to
the uterus (where a baby
grows during pregnancy)
General anesthesia:
A controlled loss of
wakefulness from drugs
Surgical staging:
Procedures during surgery
that are used to find out
how far cancer has spread
Uterus:
Where babies
grow during pregnancy
!
See Part 1 on page
7 for definitions of
other body parts.
New suspected ovarian cancer
Staging and surgery
Clinical stage
Stage IA
cancer only
in one ovary
Stage IB
cancer in both
ovaries only
Stage IC
cancer in one or both ovaries
and cancer cells on ovary
surface or in abdominal fluid
Stage II
cancer in one or both
ovaries and has spread
into the pelvis
Stage III and IV
cancer in one or
both ovaries and
has spread outside
of the pelvis or
abdomen
All cancer can
be removed
with surgery
All cancer can’t
be removed
with surgery
Surgery
Remove both ovaries, both
Fallopian tubes, uterus, and
all cancer that can be seen
Remove both ovaries, both Fallopian tubes,
uterus, and all cancer that can be seen
Surgical
staging
+
If biopsy confirms cancer, start
chemotherapy then surgery to remove
both ovaries, both Fallopian tubes,
uterus, and all cancer that can be seen
Remove one ovary and its
Fallopian tube, or
Remove both ovaries, both
Fallopian tubes, and the uterus
Remove both ovaries, both
Fallopian tubes, and the uterus
Remove one ovary and its
Fallopian tube, or
Remove both ovaries, both
Fallopian tubes, and the uterus
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