Treatment FAQ

what are some surgical treatment options for ovarian cancer

by August Russel Published 2 years ago Updated 2 years ago
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Surgery for ovarian cancer
  • Unilateral salpingo-oophorectomy: Surgical removal of one ovary and one fallopian tube.
  • Bilateral salpingo-oophorectomy: Surgical removal of both ovaries and both fallopian tubes.
  • Total hysterectomy: Surgical removal of the uterus, including the cervix.

Medication

An omentectomy is a procedure to remove the omentum. Your surgeon may perform an omentectomy at the same time as an oophorectomy or hysterectomy, depending on how far the cancer has spread. Cytoreductive surgery Ideally, every ovarian cancer patient will require treatment with both surgery and chemotherapy.

Procedures

During this procedure, depending on the stage (extent) of the disease, the surgeon will either remove just the ovary and fallopian tube or will remove both ovaries, fallopian tubes and uterus. In addition, the surgeon will attempt to remove as much of the cancer as possible. Treatment of Ovarian Epithelial Cancer Treatment of Recurrent Cancer

Self-care

Surgery for Ovarian Cancer Radiation Therapy for Ovarian Cancer Systemic treatments Drugs used to treat ovarian cancer are considered systemic therapies because they can reach cancer cells almost anywhere in the body. They can be given by mouth or …

What is the best treatment for ovarian cancer?

Abstract. The treatment of early-stage (stages I-IIA) ovarian carcinoma is predominantly surgical, and the surgical staging is the most relevant step in the treatment of this disease. The significance of surgical staging is twofold. First, proper staging distinguishes between 'real' early-stage ovarian carcinoma and 'perhaps' early-stage disease.

What is the recovery time from ovarian cancer surgery?

Surgery for ovarian cancer. If ovarian cancer is diagnosed, your oncologist will discuss the best course of treatment. This usually involves surgery, chemotherapy, targeted therapy and in rare cases, radiation therapy. Surgery is the main form of treatment for ovarian cancer.

How do you cure ovarian cancer?

 · Gynecologic surgery, such as tubal ligation and hysterectomy may also be successful in ovarian cancer prevention. Still, medical professionals agree that this more aggressive form of prevention should only be performed when medically necessary, such as a strong family history of ovarian and/or breast cancers. Symptoms of Ovarian Cancer

What is the current treatment for ovarian cancer?

 · Surgery may also be used to remove the ovaries and fallopian tube, or possibly, depending on the location and extent of the cancer, a hysterectomy to remove the uterus. Chemotherapy treatment options Chemotherapy drugs are a …

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What is the surgical treatment for ovarian cancer?

The first goal of ovarian cancer surgery is to stage the cancer − to see how far the cancer has spread from the ovary. Usually this means removing the uterus (this operation is called a hysterectomy), along with both ovaries and fallopian tubes (this is called a bilateral salpingo-oophorectomy or BSO).

What is the most effective treatment for ovarian cancer?

Surgery is the main treatment for ovarian cancer, recommended primarily when the vast majority of the cancer or affected tissue can be removed successfully. Some early-stage ovarian patients may undergo minimally-invasive procedures to remove ovarian tumors and/or preserve fertility.

What is the primary surgical approach involved in the treatment of ovarian carcinoma?

In addition to the staging procedures mentioned earlier, optimal surgical treatment for ovarian cancer comprises tumor removal; removal of remaining ovaries, uterus, and fallopian tubes, omentectomy, and radical para aortic and pelvic lymphadenctomy [3, 37].

What is surgical staging ovarian cancer?

If the pathologist finds evidence of ovarian cancer on frozen section analysis, the surgeon will then attempt to remove as much of the cancerous tissue as possible. This procedure is termed surgical staging and is an important first step in the treatment of ovarian cancer.

Can ovarian cancer be cured with surgery?

Ovarian cancer is most often treated with surgery and chemotherapy, either on their own, or in combination. Whether you have surgery or chemotherapy first will depend on several factors.

How successful is debulking surgery?

Recent data on the efficacy of neoadjuvant chemotherapy have served to challenge the conventional dogma that the preferred initial treatment is surgical debulking. Most of these patients will achieve remission regardless of initial treatment, but 80% to 90% of patients will ultimately relapse.

What is debulking in surgery?

(dee-BUL-king) Surgical removal of as much of a tumor as possible. Debulking may increase the chance that chemotherapy or radiation therapy will kill all the tumor cells. It may also be done to relieve symptoms or help the patient live longer. Also called tumor debulking.

What is a lap procedure?

The lap procedure serves to restrict the size of the stomach, reducing how much food it can hold at one time before it creates unenjoyable effects for the individual. It also slows the speed at which food moves between the stomach and the intestines, allowing the person to feel fuller for longer.

What is second look laparotomy?

The second-look laparotomy has become an important means of assessing therapy response in ovarian cancer patients. This procedure enables the gynecologic oncologist to diligently search for small volume persistent disease, which often escapes detection by less invasive means.

What is laparotomy ovarian cancer?

A laparotomy is an operation to look inside your abdomen and pelvis to find out if ovarian cancer has spread. You might be in hospital for a couple of days.

How long is debulking surgery?

If performed with chemotherapy, the debulking surgery may take six to 12 hours to complete. After surgery, you may have a tube (drain) in your abdomen to get rid of any fluid, but this is usually removed within a couple of days. The length of your hospital stay depends on the type of surgery you require.

Where is the first place ovarian cancer spreads to?

Where does ovarian cancer spread first? There is no single trajectory for where ovarian cancer will spread; however, if not caught in early stages, most cases of ovarian cancer will follow a similar path: from the pelvis, to more distant parts of the abdomen and peritoneal cavity, to the lymph nodes, and the liver.

Which Treatments Are Used For Ovarian Cancer?

There are several ways to treat ovarian cancer, depending on its type and stage.Local treatments: Some treatments are local, meaning they treat the...

How Is Ovarian Cancer Typically Treated?

Most women with ovarian cancer will have some type of surgery to remove the tumor. Depending on the type of ovarian cancer and how advanced it is,...

Who Treats Ovarian Cancer?

Doctors on your cancer treatment team might include: 1. A gynecologic oncologist: a gynecology doctor who is specially trained to use surgery to tr...

Making Treatment Decisions

It’s important to discuss all of your treatment options, including their goals and possible side effects, with your doctors to help make the decisi...

Help Getting Through Cancer Treatment

Your cancer care team will be your first source of information and support, but there are other resources for help when you need it. Hospital- or c...

What is the procedure for ovarian cancer?

In early-stage ovarian cancer, less-invasive laparoscopic surgery may be an option. This is done with a video camera and long, thin instruments inserted through tiny incisions.

What is the procedure to remove ovaries?

A procedure called debulking cytoreductive surgery is used to treat stage 4 ovarian cancer. It involves removal of your ovaries and fallopian tubes, along with any other affected organs. This can include: uterus and cervix. pelvic lymph nodes. tissue that covers your intestines and lower abdominal organs.

What are the factors that help guide treatment for ovarian cancer?

This is usually combined with chemotherapy, hormone therapy, or targeted treatments. Some factors that help guide treatment are: your specific type of ovarian cancer. your stage at diagnosis. whether you’re pre- or postmenopausal. whether you plan to have children.

What is a clinical trial for ovarian cancer?

Clinical trials for ovarian cancer. Clinical trials compare standard treatment with innovative new therapies not yet approved for general use. Clinical trials can involve people with any stage of cancer. Ask your oncologist whether a clinical trial is a good option for you.

What is targeted therapy for ovarian cancer?

Targeted therapy for ovarian cancer. Targeted drugs find and change specific traits of cancer cells that aren’t found in healthy cells. They do less damage to healthy tissue than chemotherapy or external radiation treatments. Tumors need blood vessels to grow and spread.

How many times can you give ovarian cancer?

Epithelial ovarian cancer starts in cells on the outer lining of your ovaries. Treatment typically involves at least two IV drugs. They’re given three to six times, usually three to four weeks apart. The standard drug combination is cisplatin or carboplatin plus paclitaxel (Taxol) or docetaxel (Taxotere).

What hormones are used to lower estrogen production in premenopausal women?

It’s more often used for stromal cancer. Luteinizing-hormone-releasing hormone agonists are used to lower estrogen production in premenopausal women. Two of these are goserelin (Zoladex) and leuprolide (Lupron). They’re given by injection every one to three months.

How is ovarian cancer treated?

During the surgical procedure the surgeon will obtain small pieces of tissue (biopsies) from various sites in the abdominal cavity. During this procedure, depending on the stage (extent) of the disease, the surgeon will either remove just the ovary and fallopian tube or will remove both ovaries, fallopian tubes and uterus. In addition, the surgeon will attempt to remove as much of the cancer as possible.

What drugs were used to treat ovarian cancer in the 1990s?

Active areas of ovarian cancer research include clinical evaluation of non-cross-resistant antineoplastic agents that demonstrated single-agent activity in ovarian cancer during the 1990s: oxaliplatin, the new anthracyclines (epirubicin, liposomal doxorubicin), topotecan, oral etoposide, gemcitabine, and vinorelbine.

What is stage 1 ovarian cancer?

Stage I - Generally women with Stage I ovarian cancer have a total abdominal hysterectomy, removal of both ovaries and fallopian tubes, omentectomy, biopsy of lymph nodes and other tissues in the pelvis and abdomen. Young women whose disease is confined to one ovary are often treated by a unilateral salpingo-oophorectomy without a hysterectomy and removal of the opposite ovary being performed. Omentectomy and the other parts of the staging procedure are performed. Depending on the pathologist's interpretation of the tissue removed, there may be no further treatment if the cancer is low grade, or if the tumor is high grade the patient may receive combination chemotherapy.

What is stage 3 chemo?

1) combination chemotherapy with or without radiation therapy or. 2) combination chemotherapy. Stage III - Treatment is the same as for Stage II ovarian cancer. Following the surgical procedure, the patient may either receive combination chemotherapy possibly followed by additional surgery to find and remove any remaining cancer. ...

What is stage 2 hysterectomy?

Stage II - Treatment is almost always hysterectomy and bilateral salpingo-oophorectomy as well as debulking of as much of the tumor as possible and sampling of lymph nodes and other tissues in the pelvis and abdomen that are suspected of harboring cancer. After the surgical procedure, treatment may be one of the following:

What is the treatment for stage IV syphilis?

Stage IV - Treatment will probably be surgery to remove as much of the tumor as possible followed by combination chemotherapy.

Can platinum-resistance cancer be treated by itself?

Patients with recurrent platinum-resistance cancer can be given several secondary-chemotherapy regimens by itself or in combination with other chemotherapy drugs.

What is local treatment for ovarian cancer?

Some treatments are local, meaning they treat the tumor without affecting the rest of the body. Types of local therapy used for ovarian cancer include: Surgery for Ovarian Cancer. Radiation Therapy for Ovarian Cancer.

What kind of doctor treats ovarian cancer?

Based on your treatment options, you might have different types of doctors on your treatment team. These doctors could include: 1 A gynecologic oncologist: a gynecology doctor who is specially trained to use surgery to treat ovarian cancer; many times they are also the ones to give chemotherapy and other medicines to treat ovarian cancer 2 A radiation oncologist: a doctor who uses radiation to treat cancer 3 A medical oncologist: a doctor who uses chemotherapy and other medicines to treat cancer

What is the difference between a gynecologic oncologist and a radiation oncologist

A gynecologic oncologist: a gynecology doctor who is specially trained to use surgery to treat ovarian cancer; many times they are also the ones to give chemotherapy and other medicines to treat ovarian cancer. A radiation oncologist: a doctor who uses radiation to treat cancer. A medical oncologist: a doctor who uses chemotherapy ...

What do people with cancer need?

People with cancer need support and information, no matter what stage of illness they may be in. Knowing all of your options and finding the resources you need will help you make informed decisions about your care.

What is a radiation oncologist?

A radiation oncologist: a doctor who uses radiation to treat cancer. A medical oncologist: a doctor who uses chemotherapy and other medicines to treat cancer. Many other specialists might be part of your treatment team as well, including physician assistants, nurse practitioners, nurses, psychologists, sex counselors, social workers, nutritionists, ...

What are the services offered by the American Cancer Society?

These might include nursing or social work services, financial aid, nutritional advice, rehab, or spiritual help. The American Cancer Society also has programs and services – including rides to treatment, lodging, and more – to help you get through treatment.

Is ovarian cancer a systemic disease?

Drugs used to treat ovarian cancer are considered systemic therapies because they can reach cancer cells almost anywhere in the body. They can be given by mouth or put directly into the bloodstream.

What is the best treatment for ovarian cancer?

This usually involves surgery, chemotherapy, targeted therapy and in rare cases, radiation therapy . Surgery is the main form of treatment for ovarian cancer. The type of surgery you have depends on your general health and how far the cancer has spread, which may not be known until it is performed.

What is the goal of ovarian surgery?

The two main goals of ovarian cancer surgery are to stage the cancer and remove as much as possible, so there is no visual evidence of disease. This is known as debulking surgery.

What Can I Do to Reduce My Risk of Ovarian Cancer?

Just as there are ovarian cancer risk factors, there are forms of ovarian cancer prevention as well. The use of oral contraceptives, known as birth control pills, decreases the risk of developing ovarian cancer for average-risk women and BRCA mutation carriers, especially when used for several years.

Symptoms of Ovarian Cancer

Ovarian cancer symptoms are more likely to occur if the disease has spread. Still, early-stage cancer can cause ovarian cancer signs and symptoms to look out for as well, including bloating, pelvic or abdominal pain, trouble eating or becoming full quickly, feeling the urgency in urination and urination frequency.

Ovarian Cancer Treatment

If you are diagnosed with ovarian cancer, you will be referred to a gynecologic oncologist trained in treating cancers of the women’s reproductive system. These specialists can perform necessary treatment to women with ovarian cancer, and these treatments typically involve a combination of surgery and chemotherapy.

Deciding On a Treatment Plan

Depending on multiple factors, such as what type of cancer you have and its severity, your personal preferences, whether you plan to have children, and considering your overall health, your treatment plan may vary.

Local Treatment

Local treatment means treating or removing the cancerous tumor without affecting the rest of the body. There are a few kinds of local therapy typically used in ovarian cancer treatment, including surgery and radiation therapy.

Surgery

If surgery requires removal of both ovaries and/or the uterus, you will be unable to become pregnant and early menopause will be induced if you are not already peri or postmenopausal.

Radiation Therapy

In radiation therapy, high-energy x-rays or particles are used to kill cancer cells. Radiation therapy is not typically used because chemotherapy has been shown to be a more effective treatment option. However, radiation therapy is helpful in treating areas of the body or organs to which the cancer has spread.

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