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53

NCCN Guidelines for Patients

®

:

Ovarian Cancer, Version 1.2017

5

Treatment guide

Stages II, III, and IV ovarian cancer

Guide 7. Primary treatment for ovarian cancer confirmed by prior surgery or

biopsy

Cancer stage

Results of prior surgery

Treatment options

Stage II, III, or IV

Cancer has spread to

tissues in the pelvis,

outside the pelvis, or

outside the abdomen

ª

ª

• Some cancer remains and

can likely be removed by

surgery

ª

• Tumor reductive surgery

• Some cancer remains that

likely can’t be removed by

surgery

ª

• Start chemotherapy to

shrink the cancer (6 cycles),

consider further surgery to

remove cancer before the

4th cycle