34
Figure 10. Systemic Therapy for Patients with Ovarian Cancer
(All Stages) (cont'd)
Patients with ovarian cancer who received surgery
(cont'd)
Patients with stage IV
ovarian cancer
Patients with
PS 0–2 and no
contraindications
Combination
platinum adjuvant
therapy
Carboplatin +
paclitaxel every 6
cycles OR refer to
higher-level cancer
center
Carboplatin +
paclitaxel every
6 cycles
Single agent
carboplatin
Symptom
management
Patients with
PS >2 and/or
contraindications
Patients who are
extremely frail and/
or not fit for surgery/
have substantial
complications of
surgery, poor PS >3,
medically unfit for
chemotherapy
Refer to higher-level cancer center for
systemic chemotherapy, symptomatic
therapy, and pain control
Treatment
