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Ovarian Cancer

  • Renata Félix da Justa
  • Ramon Andrade De MelloEmail author
Chapter

Abstract

Ovarian cancer is the fifth most common type of cancer in women and the fourth most common cause of cancer death in them. The overall 5-year relative survival currently is between 30% and 40% across the globe. However, the disease typically presents at late stage when this rate is only 29%. Despite the public health significance, the etiology of this lethal disease is not completely understood but many associated risk factors have been identified. Ovarian tumors benign or malignant originate from one of three cell types: epithelial cells, stromal cells or germ cells. More than 90% of malignant ovarian tumors are of epithelial origin, 5–6% of tumors constitute sex cord-stromal tumors, and 2–3% are germ cell tumors. Staging of ovarian cancer is surgical and the International Federation of Gynecology and Obstetrics staging remains the most powerful indicator of prognosis. Primary treatment for presumed ovarian cancer consists of appropriate surgical stagin and debulking, followed in most patients by systemic chemotherapy with or without Targeted Therapies. In the relapse setting, treatment considerations include the disease-free interval, existing toxicities from first-line treatment and volume of disease at the time of relapse.

Keywords

Ovarian carcinoma Review Management Epidemiology 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Renata Félix da Justa
    • 1
  • Ramon Andrade De Mello
    • 2
    • 3
    Email author
  1. 1.Division of Surgical OncologyHaroldo Juaçaba Hospital, Ceará Cancer InstituteFortalezaBrazil
  2. 2.Division of Medical OncologyFederal University of São Paulo (UNIFESP) & Hospital Israelita Albert EinsteinSão PauloBrazil
  3. 3.Department of Biomedical Sciences and MedicineUniversity of AlgarveFaroPortugal

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