Surgery remains the cornerstone of treatment in primary epithelial ovarian carcinoma (EOC). Extensive cytoreduction is used in the treatment of advanced-stage disease, and thorough surgical staging procedures are used in apparent early-stage cases. Both procedures have been well established in the care of epithelial ovarian carcinoma and have been shown to influence prognosis, decisions regarding further therapy, and long-term outcome.
The treatment of recurrent epithelial ovarian carcinoma relies heavily on chemotherapy with various protocols and drug regimens used, depending on the length of time from the previous treatment, line of therapy, performance status, and pattern of disease spread on recurrent disease. Surgery also has an important role in the treatment of recurrent epithelial ovarian carcinoma and is the focus of this chapter.
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