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 .
Parity, contraception, infertility, and the risk of epithelial ovarian cancer.
A case-control study of reproductive factors and cancer of the ovary was conducted during 1989 - 1992 in metropolitan Toronto and nearby areas of Southern Ontario , Canada . In total , 450 women aged 35 - 79 years with histologically verified new primary epithelial ovarian cancers were interviewed concerning their reproductive histories . Over the same time period , 564 r and omly selected population controls , frequency-matched to the cases according to three 15-year age groups , were also interviewed . Continuous unconditional logistic regression methods were used for analysis . It was found that childbearing and use of oral contraceptives were associated with significant decreasing trends in risk of ovarian cancer ; the respective odds ratios were 0.78 for each full-term pregnancy ( p < 10(-8 ) ) and 0.92 for each year of use ( p < 10(-6 ) ) . Hysterectomy was also associated with reduced risk , even after more than 20 years . Among parous women , infertility did not appear to affect risk ; for nulliparous women , some evidence of increased risk was present , although fertility problems were reported by only a small fraction of nulliparae . It is suggested that the relatively lower parity of cases as compared with controls may be due to voluntary choices for having fewer children
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 .