[Ovarian cancer: diagnosis of early stages, referral of patients and management].
Early ovarian cancers account for 25 to 30% of cases. They constitute the only curable cases. There is no specific clinical symptom of early ovarian cancer. Paraneoplasic syndroms, especially phlebitis, are of major importance when they occur in young women. In most of cases, the diagnosis is performed during the management of a complex ovarian cysts. Quality of the preoperative work-up, especially sonography, and management by a specialised team are the best factors to provide an early diagnosis and a comprehensive staging. These two factors are known as predictive of good prognosis. Chemotherapy is frequently indicated post-operatively. In young women, a conservative management can be proposed to preserve their fertility.
Lécuru
Fabrice
F
Service de chirurgie gynécologique et cancérologique, Hôpital européen Georges Pompidou, 75908 Paris 15. fabrice.lecuru@hop.egp.ap-hop-paris.fr
Metzger
Ulrike
U
Levy
Eric
E
Lefrère-Belda
Marie-Aude
MA
Bensaid
Chérazade
C
D003376:Counseling; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D013997:Time Factors