In regards to surgery it is recommended to perform total omentectomy since subclinic metastasis have been documented in 10 - 30 % of all cases , and systematic limphadenectomy , necessary to be able to obtain an adequate surgical staging .
Minimal invasion surgery is not a recommended procedure for the treatment of advanced ovarian cancer .
Radiotherapy can be used to palliate symptoms .
In the present , there is not a st and ardized screening method .
Diagnosis in early stages means a better survival .
Radiotherapy can be indicated to palliate symptoms
INTRODUCTION Ovarian cancer ( OC ) is the third most common gynecologic malignancy worldwide .
Most of cases it is of epithelial origin .
At the present time there is not a st and ardized screening method , which makes difficult the early diagnosis .
The 5-year survival is 90 % for early stages , however most cases present at advanced stages , which have a 5-year survival of only 5 - 20 % .
GICOM collaborative group , under the auspice of different institutions , have made the following consensus in order to make recommendations for the diagnosis and management regarding to this neoplasia .
Until now , laparoscopy for diagnostic-staging surgery is not well known as a recommended method .
In advanced stages , primary cytoreduction is recommended as initial treatment .
Laparoscopic fertility-sparing staging in unexpected early stage ovarian malignancies.
OBJECTIVE To assess feasibility and safety of fertility-sparing laparoscopic staging in women affected by unexpected ovarian cancer desiring to preserve their fertility . DESIGN Prospect i ve study . SETTING University clinic . PATIENT(S ) Twenty-seven patients already operated on elsewhere for a presumably benign ovarian cyst . INTERVENTION(S ) Laparoscopic fertility-sparing staging operations . MAIN OUTCOME MEASURE(S ) Perioperative and survival data , reproductive outcome . RESULT ( S ) Histologic findings after first surgery : 12 low malignant potential neoplasms , 11 invasive epithelial ovarian carcinomas,1 sex-cord stromal , and 3 germ cell neoplasms . Fertility-sparing staging consisted of exploration of the peritoneal cavity , peritoneal washing cytology , multiple peritoneal biopsies , omolateral adnexectomy ( except in borderline tumors ) , omentectomy , omolateral or bilateral pelvic and aortic lymph node sampling ( except in borderline tumors , well differentiated , mucinous , and granulosa cell ( GC ) neoplasms ) , endometrial biopsy , appendectomy in mucinous type . Overall , seven patients ( 26 % ) were upstaged . Six patients received adjuvant platinum-based chemotherapy . Two term pregnancies occurred . After a median follow-up of 20 months all patients are alive ; one patient has FIGO stage Ic clear cell carcinoma , which recurred 8 months after surgery . CONCLUSION ( S ) Laparoscopic fertility-sparing staging in early ovarian malignancies is feasible and safe in selected and counseled patients and should be performed in experienced gynecological oncology centers trained in endoscopic procedures
In regards to surgery it is recommended to perform total omentectomy since subclinic metastasis have been documented in 10 - 30 % of all cases , and systematic limphadenectomy , necessary to be able to obtain an adequate surgical staging .
Minimal invasion surgery is not a recommended procedure for the treatment of advanced ovarian cancer .
Radiotherapy can be used to palliate symptoms .
In the present , there is not a st and ardized screening method .
Diagnosis in early stages means a better survival .
Radiotherapy can be indicated to palliate symptoms
INTRODUCTION Ovarian cancer ( OC ) is the third most common gynecologic malignancy worldwide .
Most of cases it is of epithelial origin .
At the present time there is not a st and ardized screening method , which makes difficult the early diagnosis .
The 5-year survival is 90 % for early stages , however most cases present at advanced stages , which have a 5-year survival of only 5 - 20 % .
GICOM collaborative group , under the auspice of different institutions , have made the following consensus in order to make recommendations for the diagnosis and management regarding to this neoplasia .
Until now , laparoscopy for diagnostic-staging surgery is not well known as a recommended method .
In advanced stages , primary cytoreduction is recommended as initial treatment .