Showing posts with label debulking. Show all posts
Showing posts with label debulking. Show all posts

Wednesday, September 13, 2017

Day 13 A Month of Teal : OC Treatment- Surgery

Surgery is the main treatment for ovarian cancer.

Surgery for ovarian cancer should done by a gynecologist oncologist. A gynecologic oncologist is a physician who specializes in diagnosing and treating cancers that are located on a woman’s reproductive organs. Studies have found that women diagnosed with ovarian cancer  have better outcomes when the surgery is done by a gynecologic oncologist.(https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3046749/)

For the most common ovarian cancer, epithelial,  surgery is done for staging and debulking. Debulking surgery removes as much of the tumor as possible wherever it may be in the abdomen.  The goal is to achieve optimum debulking or no visible tumors.

Surgery may include:
Hysterectomy
bilateral salpingo-oophorectomy ( both ovaries and fallopian tubes). A Unilateral salpingo-oophorectomy may be done if a woman wishes to have children.
omentectomy ( removal of the tissue covering the organs in the abdomen) .
Lymph nodes ( Lymphadenectomy )
Debulking surgery may include removing tissue from other organs, such as the spleen, gallbladder, stomach, bladder, or colon. 

Most ovarian cancers are treated by surgery and chemotherapy. The order of those treatments depends on the stage at diagnosis. If a women is diagnosed late stage - III or IV your doctor may give you chemotherapy, then complete the surgery and then give you more chemotherapy.

Check the sources below for more information and diagrams. 

Tomorrow I will share information on chemotherapy treatments on initial diagnosis.

Dee
Every Day is a Blessing!

Sources:
https://www.cancer.gov/types/ovarian/patient/ovarian-epithelial-treatment-pdq#section/_184
https://www.cancer.org/cancer/ovarian-cancer/treating/surgery.html
http://www.cancer.net/cancer-types/ovarian-fallopian-tube-and-peritoneal-cancer/treatment-options

Friday, September 11, 2015

Ovarian Cancer Treatment: Surgery

There are a number of treatments for ovarian cancer including surgery, chemotherapy and targeted therapies. The next few days posts will focus on each type of treatment.

The stage and grade will help determine how your ovarian cancer will be treated.


Surgery:

Surgery is the main treatment for ovarian cancer . Studies have found that women whose surgery is completed by a gynecologic oncologist will have better outcomes.( http://www.nytimes.com/2013/03/12/health/ovarian-cancer-study-finds-widespread-flaws-in-treatment.html?_r=0) Studies have also found that survival increases when the gynecologic oncologist is able to remove all of the visible disease.

Depending on the extent of the disease  the gynecologic oncologist will remove the uterus ( hysterectomy), one or both ovaries and fallopian tubes ( Salpingo-oopherectomy) ,and fatty tissue in the pelvis( oomentum) as well as lymph nodes. ( Please see http://www.cancer.gov/images/cdr/live/CDR612116.jpg for an image of  the organs that may be removed.) You may hear the term debulking surgery . This is the term used for the removal of as much tumor as possible.

Most women will have surgery before chemotherapy but in the case of advanced disease at diagnosis (Stage 3C,  Stage 4) women may be offered chemotherapy ( neoadjuvant) first and then surgery after 3-4 chemotherapy treatments.

Dee
Every Day is a Blessing!

Sources:
NCI: http://www.cancer.gov/types/ovarian/patient/ovarian-epithelial-treatment-pdq#section/_156
MD Anderson: http://www.mdanderson.org/patient-and-cancer-information/cancer-information/cancer-types/ovarian-cancer/treatment/index.html