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Ovarian Masses and Treatment of Epithelial Ovarian Cancer

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22 Basic Limited Enhanced Best supportive care Systemic/Palliative Treatment for Recurrent Ovarian Cancer Clinicians may recommend treatment with second-line chemotherapy to patients with platinum-sensitive and platinum- resistant/platinum- refractory ovarian cancer OR refer to higher-level cancer center Clinicians may recommend treatment with second-line chemotherapy to patients with platinum-sensitive and platinum- resistant/platinum- refractory ovarian cancer Figure 5. Recurrent Ovarian Cancer Recommendations by Resource Level (cont'd) Combination chemotherapy with carboplatin preferably for patients with platinum-sensitive recurrent ovarian cancer OR refer to higher-level cancer center Combination chemotherapy with carboplatin preferably for patients with platinum-sensitive recurrent ovarian cancer Single-agent non-platinum chemotherapy or best supportive care for patients with platinum- resistant/platinum- refractory recurrent ovarian cancer OR refer to higher level cancer center Single-agent non-platinum chemotherapy ± bevacizumab or best supportive for patients with platinum-resistant recurrent ovarian cancer a Due to current gaps in health system and human resource availability. Treatment for Recurrent Cancer

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