NCCN Guidelines for Patients® | Ovarian Cancer - page 46

46
Part 5: Treatment with cancer drugs
NCCN Guidelines for Patients
®
: Ovarian cancer
Version 1.2013
Chemotherapy treatment recommendations
Pathologic stage
Stage IA or IB
cancer in one or
both ovaries only
Stage IC
cancer in one or both ovaries and cancer
cells on ovary surface or in abdominal fluid
Grade 1
slow-growing
Grade 2
medium grade
Grade 3 or clear cell
fast-growing
Chemotherapy
Start follow-up
Start follow-up, or
Chemotherapy given in a vein (IV) for 3–6 cycles
Chemotherapy given in a vein (IV) for 3–6 cycles
Chemotherapy given in a vein (IV) for 3–6 cycles
Chemotherapy given in the abdomen
(IP) for 6–8 cycles, or
Stage II or III
cancer in one or
both ovaries and
has spread to the
pelvis or abdomen
No prior
chemo
Prior chemo
< 1 cm of
cancer left
≥ 1 cm of
cancer left
Finish chemotherapy if received
< 6–8 cycles
Chemotherapy given in a
vein (IV) for 6–8 cycles
Stage IV
cancer in one or
both ovaries and has
spread outside of the
pelvis and abdomen
No prior
chemo
Prior chemo
Finish chemotherapy if received
< 6–8 cycles
Chemotherapy given in a
vein (IV) for 6–8 cycles
Chemotherapy given in a
vein (IV) for 6–8 cycles
Maybe
more
surgery
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