Surgery during chemotherapy and at relapse of ovarian cancer.
During chemotherapy and after relapse several types of operations are used in ovarian cancer: secondary cytoreductive surgery, interval cytoreductive surgery, second-look surgery, and palliative secondary surgery. The role of these operations has been difficult to define because there is considerable variation in the patterns of behaviour of tumours among those with persistent or recurrent disease. The definitions, indications and impact of these procedures are reviewed.
Berek
J S
JS
UCLA Women's Gynecologic Oncology Center, Jonsson Comprehensive Cancer Center, UCLA School of Medicine, USA. jberek@obgyn.medsch.ucla.edu
Tropé
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Vergote
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D005260:Female; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D010166:Palliative Care; D018579:Patient Selection; D012086:Reoperation