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NCCN QUICK GUIDE

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Ovarian Cancer, Version 1.2017

PAT-N-0986-0617

How often are follow-up tests for epithelial ovarian cancer?

Follow-up tests are recommended every 2 to 4 months for 2 years, then every 3 to 6 months

for 3 years, then once a year.

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What are the options for LCOH

(less common ovarian histopathologies)?

Carcinosarcoma

(MMMT [malignant

mixed Müllerian tumor]

Surgery is the main treatment for a MMMT. Adjuvant treatment

options include different types of chemotherapy.

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Clear cell carcinoma

of the ovary

After completion surgery, surgical staging, and possible lymph

node removal more treatment may follow. Adjuvant treatment

options include chemotherapy for stage IA to IV.

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Mucinous carcinoma

of the ovary

Once surgery is complete, adjuvant treatment may include

observation, chemotherapy, and if not done before for stage IC,

fertility-sparing surgery.

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Low-grade (grade 1)

serous/endometrioid

epithelial carcinoma

Primary treatment includes completion surgery with surgical

staging followed by adjuvant treatment. Adjuvant treatment may

include observation, chemotherapy, or hormone therapy.

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Borderline epithelial

tumors (LMP [low

malignant potential]

Surgery is used as primary treatment for this type of tumor.

Fertility-sparing surgery, chemotherapy, and observation are also

other treatment options.

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Malignant sex cord-

stromal tumors

Treatment includes fertility-sparing surgery, complete surgical

staging followed by chemotherapy or limited radiation treatment.

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Malignant germ cell

tumors

Surgery is the primary treatment option for germ cell tumors.

Other treatments depend on the type of germ cell tumor.

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How do I decide between options?

Ask your doctors many questions. Also, you could get a second opinion, attend support

groups, and compare the benefits and risks of different options.

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