[Surgical treatment of ovarian tumors, especially ovarian carcinomas]

In every case of ovarian tumor or even if this possibility cannot be excluded by other means a diagnostic laparotomy is indicated. There are only a few exceptions to this rule. Before surgery every diagnostic step should be undertaken to determine the nature, extent and origin of the tumor. At laparotomy three situations may be found, 1. the tumor is obviously benign, 2. the nature of the tumor is doubtful and 3. the tumor is malignant. The diagnostic and therapeutic steps in all these situations and also in case of persistent or recurrent tumor are discussed. Treatment of ovarian cancer is radical surgery if possible and/or chemotherapy and radiation.