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Surgical Procedures for Ovarian Cancer
by Ricker Polsdorfer, MD
Surgery is the main treatment for ovarian cancer in all stages. The goal of surgery is to remove the cancerous tumor and preserve as much ovarian function as possible. The type of surgery depends on the stage of the cancer. The impact of ovarian or other bodily functions depends on the stage, the type of surgery needed, and overall health. Chemotherapy may be done before surgery to shrink the tumor or after surgery to kill any remaining cancer cells.
The American Congress of Obstetricians and Gynecologists (ACOG) recommends that all women with ovarian cancer have surgery performed by a gynecologic cancer specialist.
Surgery for Early Stage and Advanced Ovarian Cancer
Treatment for ovarian cancer begins with a surgery called a exploratory laparotomy. An incision is made in the abdominal wall to gain access to the pelvic and abdominal cavities. These procedures may be done during staging.
The extent of surgery depends on how advanced the cancer is. Radical surgery is the best treatment for ovarian cancer since the cancer can spread and be hard to detect. Radical surgery, which removes the most tissue, increases the chance that all the cancer cells will be removed.
Surgical procedures may include one or all of the following:
Lymph nodes and/or other suspicious tissue will be removed and examined under a microscope for the presence of cancer cells.
In women where cancer is in a very early stage and who want to have children, a unilateral salpingo-oopherectomy (one ovary and fallopian tube) may be considered. Before starting treatment, talk to your doctor about preserving fertility.
American College of Obstetricians and Gynecologists Committee on Gynecologic Practice. Committee Opinion No. 477: the role of the obstetrician-gynecologist in the early detection of epithelial ovarian cancer. Obstet Gynecol. 2011;117(3):746-746.
Ovarian cancer. American Cancer Society website. Available at:
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Ovarian cancer. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T900705/Ovarian-cancer. Updated November 2, 2016. Accessed November 17, 2016.
Treatment options by stage. National Cancer Institute website. Available at: https://www.cancer.gov/types/ovarian/patient/ovarian-epithelial-treatment-pdq#section/_184. Updated November 3, 2016. Accessed November 17, 2016.
Woo YL, Kyrgiou M, Bryant A, Everett T, Dickinson HO. Centralisation of services for gynaecological cancer. Cochrane Database Syst Rev. 2012;(3):CD007945.
Last reviewed December 2015 by Mohei Abouzied, MD
Last Updated: 11/17/2016
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