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NCCN Guidelines for Patients



Ovarian Cancer, Version 1.2017


Treatment guide

Stage I ovarian cancer

Guide 3

(on page 45) shows the primary treatment

options for newly diagnosed stage I ovarian cancer.

For ovarian cancer confirmed by a prior surgery,

see Guide 4. Stage I ovarian cancer is when cancer

is only in the ovaries and has not spread to other

tissues or organs.

Primary treatment is the main treatment used to

rid the body of cancer. Surgery is used as primary

treatment for stage I ovarian cancer. Surgery is also

used to find out how far the cancer has spread—

called surgical staging. The type and extent of

surgery you will have depends on the cancer stage

and other factors. For full details on each surgery,

see page 35.

Primary treatment options

The most common treatment for stage I ovarian

cancer is surgery to remove both ovaries, both

fallopian tubes, and the uterus. This is the only

recommended option when cancer is in both

ovaries—stage IB. If cancer is only in one ovary—

stage IA or IC—a second option is surgery to remove

the ovary with cancer and its fallopian tube. This is

called fertility-sparing surgery. It may be used if you

want to be able to have babies after treatment.

Along with either of these options, you will also have

surgical staging. Surgical staging involves taking

biopsy samples of the tumor and nearby tissues to

test for cancer cells. It is done to check for cancer

cells that have spread outside the ovaries or pelvis

and can only be seen with a microscope. These

are called microscopic metastases. During surgical

staging, biopsy samples will be taken from organs

and tissues where ovarian cancer often spreads.

The omentum and nearby lymphs will also be


Next steps

After completing primary treatment, see Guide 5 on

page 49 or treatments that are recommended next.