Cáncer de ovario

  1. Pérez Martelo, M. 1
  2. Cebey López, V. 1
  3. Mateos González, M. 1
  4. Cueva Bañuelos, J.F. 1
  1. 1 Servicio de Oncología Médica y Grupo de Oncología Médica Traslacional, Hospital Clínico Universitario e Instituto de Investigación Sanitaria-CIBERONC, Santiago de Compostela, La Coruña, España
Journal:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Year of publication: 2021

Issue Title: Enfermedades oncológicas (IV)Melanoma, cáncer de mama y tumores ginecológicos

Series: 13

Issue: 27

Pages: 1518-1526

Type: Article

DOI: 10.1016/J.MED.2021.03.003 DIALNET GOOGLE SCHOLAR

More publications in: Medicine: Programa de Formación Médica Continuada Acreditado

Sustainable development goals

Abstract

Ovarian cancer is the second most common gynecologic neoplasm and causes the greatest mortality. High-grade serous carcinoma is the most frequent histological subtype. Its clinical presentation tends to be insidious, such that in the majority of cases, diagnosis is made with advanced intra-abdominal disease. Surgical staging and primary cytoreductive surgery conducted by an experienced team followed by adjuvant platinum- and taxane-based chemotherapy is the most used therapeutic technique, especially in cases in earlier stages. On occasion, chemotherapy is occasionally administered prior to interval debulking surgery, especially in advanced disease. The majority of patients in advanced stages will have recurrence and will require additional treatment. In addition to platinum- and taxane-based chemotherapy, new drugs such as bevacizumab and, in particular, PARP inhibitors have improved outcomes. They are particularly effective when BRCA mutations are present and in both first-line treatment and recurrence.

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