Early-stage epithelial ovarian cancer: an overview.
The clinical treatment of malignant epithelial ovarian cancer limited to the gonad(s) involves many problems that have given rise to analyses in recent literature and to different approaches: i. intensive anatomo-radio-surgical staging, evaluation and clinical incidence of prognostic risk factors; ii. re-staging of patients after inadequate and incomplete surgery; iii. indications, role and topicality of second-look surgery; iv. conservative surgery in patients of a fertile age wishing to have children and retain activity of the gonads; v. laparoscopic surgery for treatment, staging, re-staging and surveillance; vi. the lymph node issue; vii. adjuvant therapy: indications, options, type of drugs, doses and length; viii. quality and frequency of surveillance; ix. malignant epithelial ovarian cancer limited to the gonads in pregnancy. The clinical handling of these tumours entails many complex problems causing emotional involvement since it is most frequent at a fertile age.
Chiari
S
S
Università degli Studi di Milano, Bicocca, Facolt di Medicina e Chirugia e Ospedale San Gerardo, Clinica Ostetrica e Ginecologica, Monza, Italy.
Rota
S
S
Zanetta
G
G
Vecchione
F
F
Caspani
G
G
D000328:Adult; D000359:Aftercare / Q000379:methods / Q000592:standards; D000367:Age Factors; D002277:Carcinoma / Q000209:etiology / Q000473:pathology* / Q000523:psychology / Q000628:therapy; D003131:Combined Modality Therapy; D005260:Female; D005298:Fertility; D006801:Humans; D015994:Incidence; D008197:Lymph Node Excision / Q000379:methods / Q000592:standards; D009367:Neoplasm Staging / Q000379:methods* / Q000592:standards; D010051:Ovarian Neoplasms / Q000209:etiology / Q000473:pathology* / Q000523:psychology / Q000628:therapy; D010052:Ovariectomy / Q000379:methods; D018579:Patient Selection; D011379:Prognosis; D012086:Reoperation; D012307:Risk Factors