Recurrent ovarian cancer: when and how to treat

Marcia Hall1, Gordon Rustin

  • 1Department of Medical Oncology, Mount Vernon Cancer Centre, Northwood, Middlesex, UK. marcia.hall@nhs.net

Current Oncology Reports
|November 3, 2011
PubMed

Insights

Recurrent ovarian cancer presents challenges, with early detection benefits questioned. Treatment choices, including surgery and novel agents like PARP inhibitors, require careful consideration and patient involvement.

Area of Science:

  • Gynecologic Oncology
  • Medical Oncology

Background:

  • Ovarian cancer frequently recurs despite primary treatment.
  • Current surveillance strategies and early intervention benefits are under scrutiny.

Purpose of the Study:

  • To explore treatment strategies for recurrent ovarian cancer.
  • To address the controversial timing of interventions for recurrent disease.
  • To emphasize patient education and shared decision-making.

Main Methods:

  • Review of current literature on recurrent ovarian cancer management.
  • Analysis of recent clinical trial data (e.g., MRC/EORTC CA125 trial).
  • Discussion of emerging therapies including antiangiogenic agents and PARP inhibitors.

Main Results:

  • The benefit of early detection and treatment of recurrence is uncertain.
  • Further investigation is needed on the survival impact of secondary cytoreductive surgery.
  • PARP inhibitors and antiangiogenic agents show increasing importance.

Conclusions:

  • Management of recurrent ovarian cancer involves complex choices regarding treatment and timing.
  • Patient education and involvement are crucial for optimal decision-making.
  • Further research is needed to clarify the role of secondary cytoreductive surgery.

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