NCCN Guidelines for Patients® | Ovarian Cancer - page 34

34
Part 4: Treatment with surgery
NCCN Guidelines for Patients
®
: Ovarian cancer
Version 1.2013
Ovarian cancer confirmed by previous surgery
Staging and surgery
Results from prior surgery or biopsy
Likely stage IA or IB, grade 1
cancer in one or both ovaries only
and low grade (slow growing)
Likely stage IA or IB, grade 2
cancer in one or both ovaries
only and medium grade
Likely stage IA or IB, grade 3 or
clear cell, or stage IC
cancer in one or both ovaries
and high grade (fast growing),
or cancer has spread to surface
of ovary or in abdominal fluid
Doctor thinks no
cancer remains
Doctor thinks some
cancer remains
Surgical treatment and staging*
Surgical staging only
Surgical staging only,
Completion surgery and staging
Start chemotherapy (no surgery)
Completion surgery and staging
Doctor thinks some
cancer remains
Doctor thinks no
cancer remains
Surgery and staging complete
No second surgery needed
Completion surgery and staging, or
Start chemotherapy (no surgery)
Likely stage II, III, or IV
cancer in one or both ovaries
and has spread into pelvis or
outside of pelvis or abdomen
Doctor thinks cancer
remains and can be
removed by surgery
Doctor thinks cancer
remains and can’t be
removed by surgery
Completion surgery
Start chemotherapy, then
completion surgery
Start chemotherapy (no surgery), or
Completion surgery and staging, or
*It is important to note that most (but not all) women will receive adjuvant treatment with chemotherapy after
surgical treatment and staging.
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