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Figure 9. Staging and Neoadjuvant Therapy for Patients with
Suspected Stage III/IV Ovarian Cancer
Patients with suspected
stage III/IV ovarian cancer
Surgical evaluation
Evaluated for surgical
management, taking into
account tumor burden, FSA,
comorbidity
Counsel patients on
treatment options and
refer them to a cancer
treatment center with
specialized surgical services
If unable to travel to a
distant health center,
refer to palliative care
recommendations
If performed with curative
intent, maximal effort
cytoreductive surgery with
the aim to remove all intra-
abdominal macroscopic
tumor
Complete tumor
cytoreduction to no gross
residual disease/remove all
macroscopic visible disease
OR refer to higher-level
cancer center
Complete tumor
cytoreduction to no gross
residual disease/remove all
macroscopic visible disease
Staging and Treatment
