[Current treatment concepts in ovarian cancer]

Surgery plays an important role in the therapeutic procedure in ovarian cancer. An exact staging laparotomy in the early stages and debulking in advanced stages are necessary. In stage I/a respectively I7b (G1), chemotherapy can be avoided. Otherwise cisplatin or carboplatin-containing regimes give the best results. In low peritoneal tumor burden, or in microscopic residual disease intraperitoneal chemotherapy may be an alternative treatment. No clear therapeutic strategy can be given after second-look surgery. In such cases prospective randomized studies are necessary.