NCCN Guidelines for Patients
Ovarian Cancer, Version 1.2017
Cancer care plan
A guide to ovarian cancer treatment options can be
found in Parts 5 and 6. The treatment that you and
your doctors agree on should be reported in the
treatment plan. It is also important to note the goal
of treatment and the chance of a good treatment
outcome. All known side effects should be listed
and the time required to treat them should be noted.
See Part 4 for a list of some common side effects of
ovarian cancer treatments.
Your treatment plan may change because of new
information. You may change your mind about
treatment. Tests may find new results. How well
the treatment is working may change. Any of these
changes may require a new treatment plan.
Stress and symptom control
Cancer and its treatments can cause bothersome
symptoms. The stress of having cancer can also
cause symptoms. There are ways to treat many
symptoms, so tell your treatment team about any that
You may lose sleep before, during, and after
treatment. Getting less sleep can affect your
mood, conversations, and ability to do daily tasks.
If possible, allow yourself to rest, let people do
things for you, and talk with your doctor about sleep
medication. Behavioral sleep medicine—a type of
talk therapy—may also help.
Feelings of anxiety and depression are common
among people with cancer. At your cancer center,
cancer navigators, social workers, and other experts
can help. Help can include support groups, talk
therapy, or medication. Some people also feel better
by exercising, talking with loved ones, or relaxing.
You may be unemployed or miss work during
treatment. Or, you may have too little or no
health insurance. Talk to your treatment team
about work, insurance, or money problems.
They will include information in the treatment plan to
help you manage your finances and medical costs.
Cancer survivorship begins on the day you learn of
having ovarian cancer. For many survivors, the end
of active treatment signals a time of celebration but
also of great anxiety. This is a very normal response.
You may need support to address issues that arise
from not having regular visits with your cancer care
team. In addition, your treatment plan should include
a schedule of follow-up cancer tests, treatment of
long-term side effects, and care of your general
Advance care planning
Talking with your doctor about your prognosis can
help with treatment planning. If the cancer can’t be
controlled or cured, a care plan for the end of life can
be made. However, such talks often happen too late
or not at all. Your doctor may delay these talks for
fear that you may lose hope, become depressed, or
have a shorter survival. Studies suggest that these
fears are wrong. Instead, there are many benefits to
advance care planning. It is useful for:
Knowing what to expect
Making the most of your time
Lowering the stress of caregivers
Having your wishes followed
Having a better quality of life
Getting good care