Current Oncology Reports

, Volume 13, Issue 6, pp 459–471 | Cite as

Recurrent Ovarian Cancer: When and How to Treat

Gynecologic Cancers (Jonathan A. Ledermann, Section Editor)

Abstract

Notwithstanding continuing efforts to improve the primary treatment for ovarian cancer, most patients will ultimately develop recurrent disease. The benefits of detection and early systemic treatment of recurrence are now in doubt following the presentation of the MRC/EORTC CA125 surveillance trial. The impact of secondary cytoreductive surgery on survival requires more investigation. The role of antiangiogenic and other biological agents such as PARP inhibitors is becoming increasingly important for patients as an addition or alternative to the more conventional cytotoxic therapies available. Uncertainties and choices abound both in the treatment of recurrent ovarian cancer and the timing of such interventions. This article not only explores how to treat these patients but also the controversial issue of when to treat. Educating and involving the patient in decisions about their treatment options is of paramount importance.

Keywords

Ovarian carcinoma CA125 Surgery Radiotherapy Follow up Platinum-free intervals Platinum hypersensitivity Chemotherapy Antiangiogenesis PARP inhibitors Hormones Tyrosine kinase inhibitors 

Notes

Disclosure

M. Hall: consultant to and honoraria from Roche; G. Rustin: board membership for Roche, Oxigene, and AstraZeneca, and honoraria from Boehringer-Ingelheim.

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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Medical OncologyMount Vernon Cancer CentreMiddlesexUK

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