Post Date May, 23 2023
Ovarian cancer is a disease that we should pay attention to, especially when patients become ill and must be actively treated. During the treatment period, it is necessary to take good care of the patients and cook the disease reasonably in multiple aspects.
Ovarian cancer treatment
1. Thoroughly remove the lesion: Ovarian cancer surgery should try to remove the primary tumor and visible pelvic metastasis, or residual cancer lesions with a diameter of less than 2.0-1.5 centimeters. For epithelial cancer, the greater omentum and appendix must be removed. The management of intestinal metastasis is an important component of ovarian cancer surgery and one of the determining factors affecting prognosis. Shallow infiltrating cancer masses can be removed by surgery; For those with larger masses or deeper infiltration, it is not allowed to be tolerated, and intestinal resection and total anastomosis should be resolutely performed. The transverse colon, sigmoid colon and rectum are the most involved in intestinal metastasis. If the remaining rectum is still 8-10 cm after resection of sigmoid colon rectum, anastomosis should be performed as far as possible; If it is difficult to anastomose or if the broken end tissue is not healthy, a colostomy is necessary. When using an intestinal stapler in low rectal resection, small cultivated nodules of the liver, spleen, and mediastinum end to end are usually not required to be removed. Large cancer masses that must be eliminated through chemotherapy must be diligently removed. The lymph node metastasis rate of ovarian cancer is as high as 50% or more, and currently many experiences tend to focus on clearing lymph nodes as one of the components of tumor cell reduction surgery. It is advantageous to remove retroperitoneal lymph nodes in individuals who are able to remove primary and secondary lesions. If the primary and metastatic tumors cannot reach cell extinction, forced removal of lymph nodes is not beneficial.
2. Persist in long-term chemotherapy: Ovarian cancer chemotherapy should be sustained for a long time, especially for those in advanced stages and those who do not undergo surgery. The drug use plan is: for the first year after surgery, one course of treatment per month; The second year: one course of treatment per month; Third year: one course of treatment every six months; Fourth to fifth year: One course of treatment every six months, with oral medication changes. Clinical stage, tissue differentiation, thorough surgical resection, patient response, etc. If there are no signs of recurrence after 5 years, the medication can be discontinued. Try to avoid stopping chemotherapy midway, as stopping chemotherapy midway can increase the likelihood of ovarian cancer recurrence.
3. Radioimmunotherapy: Similar to chemotherapy, radiation therapy is also used when ovarian cancer develops severely. When radiation therapy is necessary, it is only chosen when the first two methods are ineffective, with greater side effects. For example, the skin in the treatment area undergoes changes in sub burn samples under radiation, which can gradually disappear after stopping treatment. In addition, side effects such as fatigue, nausea, and diarrhea may also occur.
