IMR Press / EJGO / Volume 38 / Issue 2 / DOI: 10.12892/ejgo3392.2017

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Review
Multidisciplinary management of advanced ovarian cancer for an optimal therapeutic strategy
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1 Medical Oncology Department, Centre Léon Bérard, Lyon, France
2 Department of Anatomopathology, Hospices Civils de Lyon, Lyon
3 Department of Radiology, Centre Oscar Lambret, Lille, France
4 Department of Anatomopathology, Institut Gustave Roussy, Villejuif
5 Medical Oncology Service, Hôpital Tenon, Paris, France
6 Department of Surgery, Institut Gustave Roussy, Villejuif, France
7 Department of Surgery, Institut Curie, Paris, France
Eur. J. Gynaecol. Oncol. 2017, 38(2), 175–180; https://doi.org/10.12892/ejgo3392.2017
Published: 10 April 2017
Abstract

The management of advanced ovarian cancer generally requires specialist multidisciplinary teamwork to achieve optimum outcomes. Preoperative computed tomography scans are the imaging modality of choice in determining the extent of disease and aiding in surgical planning. Histological classification is crucial to define various subtypes with their different behaviour and prognosis and to plan the best therapeutic strategy. Pathological prognostic factors, such as histological type, degree of differentiation, and FIGO stage must be described. To determine the ability to optimally cytoreduce advanced ovarian cancer, an experienced gynaecological oncologist needs to explore the entire upper abdomen and the pelvic and para-aortic lymph node regions to define the peritoneal cancer index (PCI). The final assessment is the completeness of cytoreduction (CC) score which is important in predicting prognosis and decision of post-surgical surgery. Ovarian cancer is the leading cause of death from gynaecologic cancers. Initial management is best provided by a specialist multidisciplinary team, including a radiologist, a pathologist, a gynaecologic oncologist, and a medical oncologist.
Keywords
Advanced ovarian cancer
Initial staging
Multidisciplinary team
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