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[Epithelial ovarian carcinomas: what to do after recurrences?]
1Centre hospitalier Lyon Sud, 69495 Pierre-Bénite.
La Revue Du Praticien
|January 6, 2005
Summary
Standardized follow-up schedules for epithelial ovarian cancer are needed. A proposed schedule of quarterly visits for three years, then biannually for five years, may be acceptable for monitoring recurrences.
Area of Science:
- Gynecologic Oncology
- Clinical Management
- Cancer Surveillance
Context:
- Epithelial ovarian carcinoma follow-up protocols lack standardization.
- Recurrence after initial treatment carries a poor prognosis.
- Current management relies heavily on chemotherapy.
Purpose:
- To propose an acceptable follow-up schedule for epithelial ovarian cancer patients.
- To optimize monitoring for early detection of recurrence.
- To inform clinical practice guidelines for ovarian cancer survivorship.
Summary:
- A structured follow-up regimen, including three-month intervals for three years and then six-month intervals for five years, is suggested as potentially acceptable.
- This schedule aims to improve surveillance for epithelial ovarian carcinomas.
- Chemotherapy remains the primary treatment, with salvage cytoreduction surgery reserved for highly selected cases.
Impact:
- Potential to standardize post-treatment surveillance for ovarian cancer.
- May improve early detection rates of recurrent disease.
- Could lead to more consistent patient management and potentially better outcomes.