This is similar to the laparotomy that is done to determine the stage of the cancer. During the second-look operation, the doctor will take samples of lymph nodes and other tissues in the abdomen to see if any cancer is left. Treatment by stage Treatment of ovarian germ cell tumor depends on the stage and cell type of the disease, and the patient's age and overall condition. Standard treatment may be considered because of its effectiveness in patients in past studies, or participation in a clinical trial may be considered. Not all patients are cured with standard therapy and some standard treatments may have more side effects than are desired.
Clinical trials are ongoing in many parts of the country for patients with ovarian germ cell tumor.
Unilateral salpingo-oophorectomy followed by chemotherapy if the patient wishes to have children in the future. Unilateral salpingo-oophorectomy followed by chemotherapy. Clinical trials are testing new combinations of chemotherapy drugs. Chemotherapy is given following surgery. Total abdominal hysterectomy and bilateral salpingo-oophorectomy.