31
Neoadjuvant
chemotherapy (NACT)
NACT and interval
debulking
NACT and interval
debulking OR refer
to higher-level cancer
center
Little role for surgery
unless for palliation
Interval cytoreductive
surgery after ≤4 cycles
of NACT
Not feasible
a
Patients with
progressive disease
on NACT
Patients with a response
to chemotherapy or
stable diease
Patients with biopsy-
proven FIGO stage IIIC
or IV (specifically high
tumor load/stage IVB),
in expectantly high
morbidity surgery and
patients with poor
PS or unresectable
disease
Basic Limited Enhanced
Patient
Category
Intervention
Category
Key
