CURRENT MANAGEMENT OF OVARIAN CANCER
ACOG District XII 2014 Annual District Meeting
CURRENT MANAGEMENT OF OVARIAN CANCER
Dennis S. Chi, M.D. Gynecology Service, Department of Surgery
Memorial Sloan-Kettering Cancer Center New York, New York
Disclosure
This speaker has no conflicts of interest to disclose relative to the contents of this presentation.
Objectives
At the end of this presentation, participants should be able to:
? Explain the rationale for surgical staging ? Understand the role of cytoreductive
surgery ? Summarize the utilization of
chemotherapy
Natural History and Management of Ovarian Cancer
Dx Primary Chemotherapy ("Neoadjuvant Chemotherapy")
1st Remission
1st, 2nd, 3rd Recurrence
*Also, setting for first cytoreduction after "neoadjuvant chemotherapy
Patterns of Spread of Epithelial Ovarian Cancer
1) Lymphatics
2) Direct extension 3) Exfoliation of clonogenic cells
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