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
