7.6. |
The goal of primary surgery to treat advanced ovarian cancer
must be macroscopically complete resection. |
CC |
7.7. |
Multivisceral resection must be carried out if complete
resection (free of residual macroscopic tumour) can be
achieved or if it can be used to remove an obstruction and
is not contraindicated in this patient. |
CC |
7.8. |
If advanced ovarian cancer is unexpectedly diagnosed, this
must be confirmed histologically and the extent of spread
described. The definitive treatment must then be carried out
by a gynaecological oncologist in a suitable facility. |
A |
4 |
Guidelines: 2
Primary
studies: 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89
|
7.9. |
Patients obtain no benefit from primary chemotherapy followed
by interval operation. |
ST |
1+ |
Guidelines: 1
Primary
studies: 90, 91, 92, 93, 94, 95
|
7.10. |
The sequence of therapy must consist first of primary surgery
followed by chemotherapy. |
A |
1+ |
Guidelines: 1
Primary
studies: 90, 91, 92, 93, 94, 95
|
7.11. |
Second-look operations must not be carried out. |
CC |