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71

NCCN Guidelines for Patients

®

:

Ovarian Cancer, Version 1.2017

6

Treatment guide

Borderline epithelial tumors

Guide 18. Borderline epithelial tumors (LMP) with incomplete surgical staging

Staging Disease status Adjuvant treatment options

CT of the chest,

abdomen, and

pelvis with

contrast

ª

• Residual

disease

remaining

after surgical

staging

ª

Fertility desired, no invasive implants or unknown:

• Observe

or

• Fertility-sparing surgery and removal of residual

disease

ª

Fertility desired, invasive implants at prior surgery:

• Fertility-sparing surgery and removal of residual

disease

or

• Observe

or

• Consider treatment for grade 1 (low-grade)

serous epithelial carcinoma (

see Guide 16

)

ª

Fertility not desired, no invasive implants or

unknown:

• Observe

or

• Completion surgery and removal of residual

disease

ª

Fertility not desired, invasive implants at prior

surgery:

• Completion surgery and removal of residual

disease

or

• Observe

or

• Consider treatment for grade 1 (low-grade)

serous epithelial carcinoma (

see Guide

16

)

ª

• No residual

disease

remaining

after surgical

staging

ª

• Observe