Treatment FAQ

what is the treatment for ovary cancer

by Junior Blick I Published 2 years ago Updated 2 years ago
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Treatment for ovarian cancer usually involves a combination of surgery and chemotherapy. Surgery: Doctors remove cancer tissue in an operation. Chemotherapy: Using special medicines to shrink or kill the cancer. The drugs can be pills you take or medicines given in your veins, or sometimes both.

Medication

  • Stage I Stage I means that cancer hasn’t spread beyond the ovaries.
  • Stage II Stage II means that cancer has begun to spread beyond the ovaries to other areas within the pelvis.
  • Stage III At Stage III, the cancer is in either one or both ovaries and has spread beyond the pelvis to nearby lymph nodes and/or other parts of the abdomen.

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Procedures

Three PARP inhibitors have received FDA approval for ovarian cancer maintenance therapy:

  • Lynparza (olaparib)
  • Rubraca ( rucaparib)
  • Zejula ( niraparib)

Self-care

Can you be fully cured of ovarian cancer? Around two in ten women with advanced-stage ovarian cancer are effectively cured and survive at least 12 years after the treatment as per the research. Your response to cancer therapy and chances for a cure depend on the type and the staging of ovarian cancer at the time of diagnosis.

What is the life expectancy of someone with ovarian cancer?

Ovarian cancer can be terminal. About 45% of people with any stage of ovarian cancer survive for 5 years or longer from the date a doctor diagnoses them. For stage 4 ovarian cancer, the 5-year survival rate is 30.3%. These figures are averages, so they do not reflect what will happen in all cases.

What is the best treatment for ovarian cancer?

Can you be fully cured of ovarian cancer?

What are the odds of surviving ovarian cancer?

See more

What is local treatment for ovarian cancer?

What kind of doctor treats ovarian cancer?

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

What is complementary medicine?

What do people with cancer need?

What is a radiation oncologist?

What are the services offered by the American Cancer Society?

See more

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Can ovarian cancer be treated successfully?

Approximately 20% of women with advanced-stage ovarian cancer survive beyond 12 years after treatment and are effectively cured. Initial therapy for ovarian cancer comprises surgery and chemotherapy, and is given with the goal of eradicating as many cancer cells as possible.

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 first treatment for ovarian cancer?

The initial treatment for stage I ovarian cancer is surgery to remove the tumor. Most often the uterus, both fallopian tubes, and both ovaries are removed (a hysterectomy with bilateral salpingo-oophorectomy). The treatment after surgery depends on the sub-stage of the cancer.

Is ovarian cancer curable at stage 1?

Most women with Stage 1 ovarian cancer have an excellent prognosis. Stage 1 patients with grade 1 tumors have a 5-year survival of over 90%, as do patients in stages 1A and 1B. Survival rates are often based on studies of large numbers of people, but they can't predict what will happen in any particular person's case.

Is chemo Worth it for ovarian cancer?

Epithelial ovarian cancer often shrinks or even seems to go away with chemo, but the cancer cells may eventually begin to grow again. If the first chemo seemed to work well and the cancer stayed away for at least 6 to 12 months, it can be treated with the same chemotherapy used the first time.

What are the early warning signs of ovarian cancer?

What are the early warning signs of ovarian cancer?Pelvic or abdominal pain or cramping. ... Feeling full quickly after starting to eat or lack of appetite. ... Indigestion or upset stomach.Nausea.Feeling like you have to urinate more frequently or urgently than normal. ... Unexplained exhaustion. ... Bloating and/or constipation.More items...

Can ovarian cancer be removed?

Ovarian stromal tumors are often confined to just one ovary, so surgery may just remove that ovary. If the cancer has spread, more tissue may need to be removed. This could mean a hysterectomy and bilateral salpingo-oophorectomy and even debulking surgery.

Is removing an ovary major surgery?

Salpingo-oophorectomy is a procedure to remove the fallopian tube (salpingectomy) and ovaries (oophorectomy), which are the female organs of reproduction. Since it requires anesthesia, overnight hospital stay, and removal of body parts, it is classified as major surgery. It requires 3-6 weeks to heal completely.

Is ovarian cancer a death sentence?

It's true that ovarian cancer rarely has symptoms in the early stages, but an advanced-stage diagnosis isn't a death sentence. You can live with ovarian cancer and have a great quality of life thanks to the variety of new treatments that are available today.

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.

Does ovarian cancer spread quickly?

Does ovarian cancer spread quickly? Ovarian cancer grows quickly and can progress from early stages to advanced within a year. With the most common form, malignant epithelial carcinoma, the cancer cells can grow out of control quickly and spread in weeks or months.

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Can You Be Fully Cured of Ovarian Cancer? - MedicineNet

Around two in ten women with advanced-stage ovarian cancer are effectively cured and survive at least 12 years after the treatment as per the research. Your response to cancer therapy and chances for a cure depend on the type and the staging of ovarian cancer at the time of diagnosis.. There are more than 30 types of ovarian cancers.Only three out of these are the main types of cancer ...

Ovarian Cancer in Elderly Women

The incidence of ovarian carcinoma increases with advancing age,peaking during the 7th decade of life and remaining elevated until age80 years. Despite the high prevalence of ovarian cancer in the elderly,the management of these patients is often less aggressive than that oftheir younger counterparts. As a result, many elderly cancer patientsreceive inadequate treatment. However, data do not ...

Ovarian Cancer Survival Rates | Ovarian Cancer Prognosis

Whether you or someone you love has cancer, knowing what to expect can help you cope. Here you'll find in-depth information on specific cancer types – including risk factors, early detection, diagnosis, and treatment options.

What is the treatment for ovarian cancer?

Types of Treatment. Treatment for ovarian cancer usually involves a combination of surgery and chemotherapy. Surgery: Doctors remove cancer tissue in an operation. Chemotherapy: Using special medicines to shrink or kill the cancer.

What kind of doctor treats peritoneal cancer?

If your doctor says that you have ovarian, fallopian tube, or primary peritoneal cancers, ask to be referred to a gynecologic oncologist —a doctor who was trained to treat cancers of a woman’s reproductive system. Gynecologic oncologists can perform surgery on and give chemotherapy (medicine) to women with ovarian cancer.

What is the name of the doctor who treats cancer?

Different treatments may be provided by different doctors on your medical team. Gynecologic oncologists are doctors who have been trained to treat cancers of a woman’s reproductive system. They perform surgery and give chemotherapy (medicine). Surgeons are doctors who perform operations.

Surgery

Surgery is the main treatment option that doctors use to treat most ovarian cancers.

Radiation therapy

Radiation therapy involves healthcare professionals using high energy X-rays or particles to kill cancer cells. Doctors do not often use radiation therapy for ovarian cancer treatment, as aggressive chemotherapy is often more effective. However, it may help treat areas to which the cancer has spread.

Chemotherapy

Chemotherapy is usually a systemic treatment, wherein drugs enter directly into the bloodstream and reach almost all bodily areas. Doctors often give chemotherapy intravenously, orally, or through a catheter into the abdominal cavity.

Hormone therapy

Hormone therapy involves a doctor using hormones or hormone-blocking drugs. Doctors do not often use this type of treatment for the most common type of ovarian cancer, epithelial ovarian cancer. However, they are likely to use this treatment for ovarian stromal tumors, which grow in the connective tissue of the ovaries.

Targeted therapy

Targeted therapy uses drugs to identify and attack cancer cells without significantly damaging normal healthy cells. Each type of targeted therapy works differently, but they all affect how cancer cells:

Immunotherapy

Immunotherapy, which involves using the body’s own immune system against cancer, may also be an option in some cases. For example, a doctor might recommend combining another therapy type with immunotherapy for additional benefit or in cases where other treatment options have not been effective.

How to remove ovarian cancer?

Operations to remove ovarian cancer include: Surgery to remove one ovary. For very early stage cancer that hasn't spread beyond one ovary, surgery may involve removing the affected ovary and its fallopian tube. This procedure may preserve your ability to have children. Surgery to remove both ovaries.

What test can detect ovarian cancer?

Your doctor might also test your blood for tumor markers that indicate ovarian cancer. For example, a cancer antigen (CA) 125 test can detect a protein that's often found on the surface of ovarian cancer cells. These tests can't tell your doctor whether you have cancer, but may give clues about your diagnosis and prognosis.

What is targeted therapy?

Targeted therapy. Targeted therapy uses medications that target the specific vulnerabilities present within your cancer cells. Targeted therapy drugs are usually reserved for treating ovarian cancer that returns after initial treatment or cancer that resists other treatments.

What tests are done to determine the size of your ovaries?

The doctor also visually examines your external genitalia, vagina and cervix. Imaging tests. Tests, such as ultrasound or CT scans of your abdomen and pelvis, may help determine the size, shape and structure of your ovaries. Blood tests.

Can you have both fallopian tubes removed?

This procedure may preserve your ability to have children. Surgery to remove both ovaries. If cancer is present in both your ovaries, but there are no signs of additional cancer, your surgeon may remove both ovaries and both fallopian tubes.

Can palliative care be used for cancer?

Palliative care can be used while undergoing other aggressive treatments, such as surgery and chemotherapy. When palliative care is used along with all of the other appropriate treatments, people with cancer may feel better and live longer.

Is ovarian cancer scary?

A diagnosis of ovarian cancer can be overwhelming and scary. In time you'll find ways to cope with your feelings, but in the meantime you might find it helpful to:

What is the best treatment for ovarian cancer?

Hormone therapy. In some cases, your doctor might suggest using hormones or hormone -blocking medications. According to the American Cancer Society, this therapy is most often used to treat ovarian stromal tumors, not epithelial ovarian cancer. Clinical trials.

Why do you need chemo after ovarian surgery?

Chemotherapy (“ chemo ”). You may need chemo to get rid of any cancer cells that are still in your body after surgery. You usually receive these powerful medications through an IV. But sometimes they work better for ovarian cancer if they’re injected into your abdomen.

What is the best way to kill cancer cells in the pelvic area?

This lets the medicine come into direct contact with the part of your body where the cancer was and is most likely to spread. Radiation. These high-energy X-rays can help kill any cancer cells that are left over in the pelvic area.

What is the first step in a cancer diagnosis?

Surgery. This is usually the first step. It's done to take out a piece of the mass to see if it's cancer. Doctors call this a biopsy. Surgery helps "stage" the cancer to see how far it has spread. Once cancer is confirmed, your surgeon will take out as much of the tumor as possible.

Can a cancer survivor seek help?

But that doesn’t mean you shouldn’t seek help when you need it. A mental health professional or a therapy group of cancer survivors can sometimes help you get a handle on the complex issues that may arise. In many cases, it might help to include family members and loved ones in part of this process.

Can ovarian cancer affect mental health?

Cancer and Mental Health Treatment. A diagnosis of ovarian cancer can take a toll on your mental health as well as your personal relationships. Anxiety, distress, and depression are common and, in many cases, normal responses. But that doesn’t mean you shouldn’t seek help when you need it.

What is the treatment for ovarian cancer?

Surgery is one of the main treatments for ovarian cancer. In most cases, one of the first big decisions is whether to start with surgery or chemotherapy. “The initial course of treatment is primarily determined by the extent of disease,” Boyd explained. Imaging tests, such as CT scans, and other diagnostic procedures help your doctor determine ...

What is the best treatment for cancer?

Radiation therapy: High-energy X-rays or particles are used to kill cancer cells. Hormone therapy: Hormones or hormone-blocking drugs are used to shift the balance of hormones in your body, which affects how some types of cancer grow. Targeted therapy: Drugs or other substances are used to target the inner workings of cancer cells.

What is targeted therapy?

Targeted therapy: Drugs or other substances are used to target the inner workings of cancer cells. In most cases, your doctor will only prescribe this type of treatment if the cancer doesn’t respond to other treatments or returns after treatment.

Where does ovarian cancer start?

Ovarian cancer starts in the ovaries or far end of the fallopian tubes. Screening options are limited. By the time the cancer is diagnosed, it may have spread to the pelvis, abdomen, or other parts of the body. Surgery is one of the main treatments for ovarian cancer. In most cases, one of the first big decisions is whether to start with surgery ...

Can you retrieve eggs from your ovaries?

In some cases, they might suggest a procedure to retrieve eggs from your ovaries before you start treatment. In general, for most people, the best treatment plan for ovarian cancer depends in part on: the specific type of ovarian cancer. the location and extent of the cancer, including whether or not it has spread.

Can you remove the ovaries and fallopian tubes?

Surgery may involve removing only one ovary and fallopian tube. In some cases, it might involve removing both ovaries and fallopian tubes. In more advanced cases, surgery may mean removing both ovaries, fallopian tubes, the uterus, nearby lymph nodes, and a fold of fatty tissue known as the omentum.

Is ovarian cancer hard to treat?

Ovarian cancer has a reputation for being difficult to treat, but years of research have started to bring change. If you’ve been diagnosed with ovarian cancer, you may have a wider range of treatment options than you realize.

How to treat invasive ovarian cancer?

Treatment of Invasive Epithelial Ovarian Cancers, by Stage. The first step in treating most stages of ovarian cancer is surgery to remove and stage the cancer. Debulking is also done as needed. (See Surgery for Ovarian Cancer .) Because fallopian tube and primary peritoneal cancers have the same staging system as ovarian cancers they are included ...

What is the treatment for stage 1 ovarian cancer?

Stage I cancers. The initial treatment for stage I ovarian cancer is surgery to remove the tumor. Most often the uterus, both fallopian tubes, and both ovaries are removed (a hysterectomy with bilateral salpingo-oophorectomy). The treatment after surgery depends on the sub-stage of the cancer. Stages IA and IB (T1a or T1b, N0, M0): The treatment ...

How many cycles of chemo are given before surgery?

If the chemo works and the woman becomes stronger, surgery to debulk the cancer may be done, often followed by more chemo. Most often, 3 cycles of chemo are given before surgery, with at least 3 more after surgery (for a total of at least 6 cycles).

How many cycles of chemo for stage 2 ovarian cancer?

The surgeon will try to remove as much of the tumor as possible. After surgery, chemo is recommended for at least 6 cycles. The combination of carboplatin and paclitaxel is used most often. Some women with stage II ovarian cancer are treated with intraperitoneal (IP) chemotherapy instead of intravenous (IV) chemotherapy.

What is the treatment for grade 3 cancer?

For grade 3 (high grade) tumors, the treatment usually includes the same chemotherapy that is given for grade 2 Stage IA and IB cancers. Stage IC (T1c, N0, M0): Standard surgery to remove the cancer is still the first treatment. After surgery, chemo is recommended, usually with 3 to 6 cycles of treatment with carboplatin and paclitaxel.

What is recurrent ovarian cancer?

Recurrent or persistent ovarian cancer. Cancer is called recurrent when it come backs after treatment. Recurrence can be local (in or near the same place it started) or distant (spread to organs like the lungs or bone). Persistent tumors are those that never went away completely after treatment.

What is maintenance therapy?

The goal of maintenance therapy is to keep the cancer from coming back after platinum chemotherapy. Drugs that might be used include bevacizumab, niraparib, rucaparib, and olaparib.

What is the best treatment for ovarian cancer?

Getting a combination of drugs instead of just one drug alone seems to work better as a first treatment for ovarian cancer. Usually, the combination includes a type of chemo drug called a platinum compound (usually cisplatin or carboplatin), and another type of chemo drug called a taxane, such as paclitaxel (Taxol ®) or docetaxel (Taxotere ® ).

What is chemo for ovarian cancer?

Chemotherapy for Ovarian Cancer. Chemotherapy (chemo) is the use of drugs to treat cancer. Most often, chemo is a systemic treatment, meaning the drugs enter the bloodstream and reach almost all areas of the body. Chemo can be useful to kill very small amounts of cancer cells that may still be around after surgery, ...

What is intraperitoneal chemo?

Intraperitoneal (IP) chemotherapy. For women who have stage III ovarian cancer (cancer that has not spread outside the abdomen) and whose cancers were optimally debulked (no tumors larger than 1 cm after surgery), intraperitoneal (IP) chemotherapy might be given in addition to systemic chemo (paclita xel given in a vein).

What is the best treatment for stromal tumors?

Chemotherapy for stromal tumors. Ovarian stromal tumors are not often treated with chemotherapy , but when they are, the combination of carboplatin plus paclitaxel or PEB (cisplatin/Platinol, etoposide, and bleomycin) is used most often.

How many cycles of chemo for epithelial ovarian cancer?

The typical course of chemo for epithelial ovarian cancer involves 3 to 6 cycles of treatment, depending on the stage and type of ovarian cancer. A cycle is a schedule of regular doses of a drug, followed by a rest period. Different drugs have varying cycles; your doctor will let you know what schedule is planned for your chemo.

How long does ovarian cancer stay away after chemo?

If the first chemo seemed to work well and the cancer stayed away for at least 6 to 12 months, it can be treated with the same chemotherapy used the first time. In some cases, different drugs may be used. Some of the other chemo drugs that are helpful in treating ovarian cancer include:

What is the best chemotherapy for cancer?

High dose chemotherapy (the exact drugs used can vary depending on what cancer center is giving the treatment) TIP (paclitaxel/Taxol, ifosfamide, and cisplatin/Platinol) VeIP (vinblastine, ifosfamide, and cisplatin/Platinol) VIP (etoposide/VP-16, ifosfamide, and cisplatin/Platinol)

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 is complementary medicine?

Complementary methods refer to treatments that are used along with your regular medical care. Alternative treatments are used instead of a doctor’s medical treatment.

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.

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Diagnosis

Treatment

Clinical Trials

Coping and Support

Medically reviewed by
Dr. Khutaija Bano
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment involves surgery followed by chemotherapy, or in combination.
Medication

Chemotherapy: Drugs are given intravenously or intraperitoneally (injected directly into the abdomen).

Carboplatin . Paclitaxel

Procedures

Ovarian surgery: Surgery may involve the removal of all visible masses in the abdomen, one or both ovaries, its tubes, uterus, lymph nodes and other organs.

Self-care

Always talk to your provider before starting anything.

  • Eat a nutritious and well balanced diet
  • Get adequate rest
  • Practice simple and stress managing exercises

Specialist to consult

Gynecologic oncologist
Specializes in the diagnosis and treatment of women with cancer of the reproductive organs.

Preparing For Your Appointment

  • Treatment for ovarian cancer usually involves a combination of surgery and chemotherapy. 1. Surgery:Doctors remove cancer tissue in an operation. 2. Chemotherapy:Using special medicines to shrink or kill the cancer. The drugs can be pills you take or medicines given in your veins, or sometimes both. Different treatments may be provided by different...
See more on cdc.gov

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