Early treatment methods for ovarian cancer

Written by Gong Chun

Oncology

Updated on September 05, 2024

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The treatment methods for early-stage ovarian cancer should first and foremost include a clear diagnosis and staging. If the staging indicates an early stage, then surgical treatment can be applied. There are many surgical options available, such as cytoreductive surgery, interval debulking surgery, second-look laparotomy, and direct tumor cell reduction surgery. After the surgery, adjuvant chemotherapy can be administered for treatment.

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What is the level of cancer antigen for ovarian cancer?

Carcinoembryonic antigen is primarily found in malignant tumors of the digestive tract, such as colorectal cancer and gastric cancer, where it tends to be significantly elevated. It is also elevated in patients with lung adenocarcinoma. In cases of ovarian cancer, carcinoembryonic antigen may be elevated, but the most primary, sensitive, and specific tumor marker is CA125, which usually shows a significant increase. However, CA125 is specifically elevated in the pathological type of epithelial ovarian cancer.

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Can ovarian cancer that has spread still be cured?

If ovarian cancer has spread, it is generally considered to be at an advanced stage. The treatment for advanced ovarian cancer primarily involves chemotherapy. Epithelial cancer, the most common type of ovarian cancer, is particularly sensitive to chemotherapy. Most patients benefit from chemotherapy. However, once ovarian cancer has spread and is not caught at a very early stage, even with treatments like chemotherapy, it cannot be cured. The purpose of treatment at this stage is to alleviate the patient's pain and extend their survival, but it cannot be cured.

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Can ovarian cancer be treated?

Ovarian cancer is certainly treatable. Its treatment methods include surgery, radiotherapy, and chemotherapy. For patients with early-stage ovarian cancer, the treatment is mainly radical surgery, followed by determining the need for additional adjuvant radiotherapy or chemotherapy based on specific pathological staging, the presence of high-risk factors for recurrence such as vascular tumor thrombus and neural invasion, and the situation of lymph node metastasis. For patients with advanced ovarian cancer, the treatment may involve debulking surgery and chemotherapy, with chemotherapy being the main treatment. Chemotherapy also needs to take into account the patient's general condition, along with local pelvic radiotherapy. These are the treatment methods for ovarian cancer, and the specific treatment plan should be selected based on staging and the patient's general condition, as well as the presence of other serious underlying diseases.

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Does ovarian cancer hyperthermic intraperitoneal chemotherapy work?

Patients with ovarian cancer are prone to peritoneal metastasis, so many patients develop ascites during the discovery of the disease or its progression. A large amount of ascites is a common concurrent symptom in patients with ovarian cancer. For patients with significant ascites like this, hyperthermic intraperitoneal chemotherapy (HIPEC) can be performed, which involves infusing chemotherapy drugs into the abdominal cavity and then combining it with thermotherapy. This treatment generally has a decent effect, especially in controlling the spread of cancer cells in the peritoneum and managing ascites.

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Is ovarian cancer curable?

Early-stage ovarian cancer patients, meaning those without extensive ascites buildup, and without widespread implant metastasis in the pelvic and abdominal cavity, and without metastasis to distant organs like the liver and lungs. These very early-stage ovarian cancer patients can undergo radical surgery. Postoperative treatment decisions, such as whether postoperative adjuvant radiotherapy or chemotherapy is needed, are based on the postoperative pathological report, which looks for high-risk factors for recurrence such as vascular cancer emboli or neural invasion. Through these treatment approaches, very early-stage ovarian cancer patients can achieve a cure, but this is not absolute. It's not guaranteed that every early-stage ovarian cancer patient can be cured, as there are individual differences. Clinically, if there is no recurrence or metastasis within five years, it is considered a cure.