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75

NCCN Guidelines for Patients

®

:

Ovarian Cancer, Version 1.2017

6

Treatment guide

Malignant sex cord-stromal tumors

Guide 22

shows the treatment options for a

sex cord-stromal tumor that has come back after

treatment. This is called a recurrence or relapse.

Symptoms, imaging tests, and a CA-125 blood test

will confirm a clinical relapse. After a clinical relapse,

you have the option to join a clinical trial, consider

more surgery (cytoreductive), or get recurrence

treatment. Cytoreductive surgery may remove all or

part of organs or tissues the cancer has spread to.

This is also called debulking surgery.

Guide 22. Treatment for malignant sex cord-stromal tumor relapse

Follow-up results Recurrence treatment options

Clinical relapse of stage II-IV

Relapse based on symptoms,

imaging test results, or

increase in CA-125 levels

ª

• Clinical trial

or

• Consider secondary cytoreductive surgery

or

• Recurrence treatment