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 .
Salvage surgery for chemorefractory ovarian germ cell tumors.
This study was undertaken to determine whether secondary surgical debulking is beneficial for patients with malignant ovarian germ cell tumors ( OGCT ) . Twenty patients with OGCT treated at our institution between 1975 and 1992 were retrospectively identified and analyzed . Survival was analyzed using the life-table methods of Kaplan and Meier and the statistical significance of various perioperative factors was tested by both the log-rank and the Wilcoxon tests . Histologic tumor type included 8 immature teratomas , 6 mixed tumors , 5 endodermal sinus tumors , and 1 dysgerminoma . After primary surgery , all patients received chemotherapy -- non-platinum-based in 12 patients , platinum-based in 5 , and both types in 3 patients . Treatment failure was classified as progression in 14 patients , persistence in 3 , and recurrence in 3 . Salvage surgery consisted of exploratory laparotomy and tumor debulking in 18 patients , inguinal lymphadenectomy in 1 , and thoracotomy and wedge resection in 1 . Sixteen patients subsequently received salvage chemotherapy . At the time of analysis , 11 patients were alive disease-free , 1 was alive with tumor , 6 had died of tumor progression , and 2 had died of treatment-related complications . Survival of patients with immature teratoma who underwent salvage surgery was significantly better than survival of those with other tumor cell types ( P = 0.006 ) . In conclusion , although the role of secondary debulking in chemorefractory OGCT remains undetermined , it may have some benefit for a select group of patients , particularly those with immature teratoma
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 .