If the cancer remains following chemotherapy, another operation may be done to remove as much remaining tumor as possible. Following this operation, the patient may receive more chemotherapy if there is still active disease. Systemic chemotherapy followed by total abdominal hysterectomy and bilateral salpingo-oophorectomy and tumor debulking. Depending on the results of this operation, the patient may need more chemotherapy. If cancer is found only in the ovary and the fallopian tube on the same side and the patient wants to have children in the future, unilateral salpingo-oophorectomy can be done.
Chemotherapy is given following surgery.
If it is a tumor called dysgerminoma, treatment will probably be systemic chemotherapy with or without radiation therapy. If it is another type of germ cell tumor, treatment will probably be systemic chemotherapy. PDQ statements exist for a number of topics. Please consult the PDQ Index . This document is also available in a text-only format .