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Maligne Tumoren des Ovars

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Therapiehandbuch Gynäkologie und Geburtshilfe
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Zusammenfassung

Hierzu zählen Borderline-Tumoren, Ovarialkarzinome, Keimstrangstromatumoren und Keimzelltumoren. 90 % sind epitheliale Tumoren. Die Therapie besteht bei Karzinomen in den frühen Stadien FIGO IA‒IIA in der Operation mit Hysterektomie, beidseitiger Adnektomie, Omentektomie, peritonealem Staging mit Probeentnahmen, pelviner und paraaortaler Lymphonodektomie und der postoperativen platinhaltigen Chemotherapie bei gering differenzierten Tumoren oder Stadium FIGO IC. In den fortgeschrittenen Stadien mit disseminierter Tumorausbreitung im Abdomen werden eine radikale Debulking-Operation mit dem Ziel der kompletten Tumorresektion und die postoperative Chemotherapie mit Carboplatin und Paclitaxel durchgeführt. Bevacizumab kann ab Stadium FIGO III anboten werden.

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Correspondence to Barbara Schmalfeldt .

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Schmalfeldt, B. (2020). Maligne Tumoren des Ovars. In: Wacker, J., Sillem, M., Bastert, G., Beckmann, M. (eds) Therapiehandbuch Gynäkologie und Geburtshilfe. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59809-2_33

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  • DOI: https://doi.org/10.1007/978-3-662-59809-2_33

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