Onkologie. 2024:18(1):10-12 | DOI: 10.36290/xon.2024.002

Surgical management of ovarian cancer

Munachiso Ndukwe¹, Ivan Práznovec¹, Martin Štěpán¹, Klára Kolářová¹, Denisa Pohanková², Jiří Špaček¹

¹ Porodnická a gynekologická klinika, Lékařská fakulta, Univerzita Karlova v Hradci Králové a Fakultní nemocnice, Hradec Králové

² Klinika onkologie a radioterapie, Lékařská fakulta, Univerzita Karlova v Hradci Králové a Fakultní nemocnice, Hradec Králové

Ovarian cancer is a heterogeneous group of diseases with an overall poor prognosis, whose treatment is necessary to manage well keeping in mind the quality of life and overall survival of the patient. Preoperative diagnosis and treatment in a multidisciplinary setting play an important role in setting the optimal treatment strategy. Surgical treatment in the early stages of ovarian cancer has a curative and staging purpose while in advanced stages it has primarily a goal of optimal resection of macroscopic tumors. Surgical treatment of ovarian cancer should be performed by experienced gynecological oncologists in centers with expertise. The discussion between primary cytoreductive surgery versus interval cytoreductive surgery in advanced ovarian cancer remains very active and alive, however surgical treatment remains the gold standard of treatment in ovarian cancer, the extension and radicality of which needs to be always individualized.

Keywords: ovarian cancer, staging surgery, cytoreductive surgery, fertility sparing surgery.

Accepted: February 22, 2024; Published: February 28, 2024  Show citation