The following are the key guideline recommendations issued:
- All patients with a possible diagnosis of advanced stage (III or IV) ovarian cancer should be evaluated by a gynecologic oncologist PRIOR to starting any therapy.
- A gynecologic oncologist will determine if surgery is an option prior to chemotherapy.
- The goal of surgery is to remove all visible tumor to less than 1 cm, ideally to no visible disease.
- Neoadjuvant chemotherapy (chemotherapy given prior to surgery) should be offered if there is little chance to remove all visible tumor OR if the patient has a high complication risk from surgery.