7
No role for minimally
invasive techniques
a
Limited setting
recommendations
May be a role for
minimally invasive
surgery such as
laparoscopy for
initial histological
diagnosis if planning
for neoadjuvant
chemotherapy (NACT)
for appropriate
selected patients
Should obtain
histologic
confirmation for
diagnosis; minimally
invasive technique
could be a CT-guided
biopsy
When a biopsy
cannot be performed,
cytologic evaluation
combined with a
serum CA-125 to
carcinoembryonic
antigen (CEA) ratio
>25 can confirm the
primary diagnosis
Minimally Invasive Techniques for Histologic Diagnosis
