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Chemotherapy for newly diagnosed and relapsed advanced ovarian cancer
1MetroHealth Medical Center, Cancer Care Pavilion, Room 2017, 2500 MetroHealth Dr, Cleveland, OH 44109, USA.
Objectives:
To review chemotherapy options for patients with newly diagnosed or relapsed advanced ovarian cancer.
Data Sources:
Published literature.
Conclusion:
Primary chemotherapy for newly diagnosed, advanced ovarian cancer consisting of a platinum compound and a taxane is commonly associated with myelosuppression, nausea/vomiting, alopecia, and sensory/motor neuropathy. For recurrent disease, numerous chemotherapy agents are effective, including rechallenging the patient with a platinum and/or a taxane or using newer agents such as pegylated liposomal doxorubicin, topotecan, and gemcitabine. In platinum-resistant disease, selection is based mainly on the toxicity profile, because palliation and quality of life are important.
Implications For Nursing Practice:
Oncology nurses play a valuable role in ovarian cancer care by proactively meeting patient information needs.
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