title: Diagnosis and management of epithelial cancer of the ovary.
abstract: Epithelial ovarian cancer is a lethal disease that is asymptomatic in the early stages and a diagnostic problem even in an advanced stage. Aggressive cytoreductive surgery ("debulking"), followed by intensive multiagent chemotherapy, offers the best chance of cure or prolonged survival. "Second-look" surgery is appropriate for select patients, and radiotherapy may be useful in a small number of patients. Terminal care focuses on nutrition support, pain control and symptomatic management of recurrent ascites and bowel obstruction.
authors.affiliation: Riverside Regional Medical Center, Newport News, Virginia.
authors.forename: W J
authors.initials: WJ
authors.lastname: Mann
mesh_terms: D002277:Carcinoma / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*