NCCN Guidelines for Patients® | Ovarian Cancer - page 64

64
Part 7: Recurrence treatment
NCCN Guidelines for Patients
®
: Ovarian cancer
Version 1.2013
Ovarian cancer recurrence
Treatment
Cancer status
Relapse without prior
chemotherapy
relapse based on symptoms,
imaging test results, or
increase in CA-125 levels
Surgical treatment with or without
chemotherapy
Biochemical relapse after
chemotherapy
relapse based on increase
in CA-125 levels only
Delay treatment until clinical relapse, or
Clinical trial
Start recurrence treatment
Clinical or radiographic
relapse after chemotherapy
relapse based on symptoms
or imaging test results
> 6 months
after chemo
Consider
surgery
Clinical trial,
Platinum chemotherapy
(preferred), or
Recurrence treatment
< 6 months
after chemo
Clinical trial,
Start recurrence treatment, or
Start follow-up
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