ASCO GUIDELINES Bundle

Ovarian Masses and Treatment of Epithelial Ovarian Cancer

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36 Figure 10. Systemic Therapy for Patients with Ovarian Cancer (All Stages) (cont'd) Patients with ovarian cancer who received surgery (cont'd) Patients with recurrent ovarian cancer May recommend treatment with second-line chemotherapy OR refer to higher-level cancer center Surgery Patients with platinum- sensitive recurrent ovarian cancer Patients with platinum- resistant recurrent ovarian cancer Combination chemotherapy with carboplatin OR refer to higher-level cancer center Combination chemotherapy with carboplatin Single agent non- platinum chemotherapy ± bevacizumab or best supportive care May recommend treatment with second-line chemotherapy Select patients with a small volume platinum-sensitive recurrent disease Refer to higher level cancer center for surgical consideration May perform complete secondary cytoreductive debulking surgery Systemic/Palliative treatment Not feasible a a Due to current gaps in health system and human resource availability. Treatment

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