NCCN Guidelines for Patients® | Ovarian Cancer - page 48

Part 5: Treatment with cancer drugs
NCCN Guidelines for Patients
: Ovarian cancer
Version 1.2013
If you have stage IV ovarian cancer and didn’t receive
chemotherapy before surgery, then you will receive 6 to 8
cycles of chemotherapy given in a vein. After completing
chemotherapy for stage II, III, or IV ovarian cancer, you
may have more surgery to remove any remaining cancer.
Monitoring tests during chemotherapy
Monitoring tests
+ pelvic
exam every 2–3 cycles
CA-125 blood test as needed
CBC and blood chemistry as needed
Imaging tests as needed
During chemotherapy treatment your doctor will give you
tests to assess for treatment response, cancer growth,
and side effects. A treatment response is an outcome or
improvement related to treatment. You will have a physical
and pelvic exam at least every 2 to 3 cycles to assess the
size, shape, firmness, and location of organs in your pelvis
and abdomen. If CA-125 levels were high when the cancer
was first found, then you may have a CA-125 blood test
before each chemotherapy cycle to assess for a treatment
response. If CA-125 levels drop after chemotherapy, that is
a sign that the cancer is responding to treatment. You may
have CBC and blood chemistry tests to assess if you have
the right number of different blood cells and to assess if
your liver and kidneys are working properly. (See page 17
for details on blood tests.) You may have imaging tests to
assess if the cancer has spread. (See page 14 for details
on imaging tests.)
Next steps:
For stage I ovarian cancer, see page
55 for follow-up recommendations after completing
chemotherapy. For stage II, III, or IV ovarian cancer,
see page 49 for post-chemotherapy treatment
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