How to treat ascites in advanced ovarian cancer

How to treat ascites in advanced ovarian cancer?

Ovarian cancer is a type of cancer that develops in the ovaries. This type of cancer requires immediate action to stop treatment.

Due to the severity of the disease, the treatment is difficult and the risk is small. The surgical methods are divided into radical surgery and radical surgery to preserve fertility. The scope of radical surgery includes bilateral adnexa, uterus, omentum, appendectomy and pelvic and retroperitoneal lymph node cleaning. For patients with extensive implantation and metastasis of pelvic tumors, it is recommended to minimize tumor cells.

Chemotherapy for ovarian cancer:

After ovarian cancer is diagnosed, patients in the middle and late stages can first receive a limited course of chemotherapy before stopping surgery. Because ovarian cancer is discovered late, the tumor is widely spread and large in size. If you want to completely remove it, it may involve nearby organs such as the small intestine and bladder, and the damage will be great. If chemotherapy can be performed before surgery, it can greatly increase the surgical resection rate, minimize damage to other organs, improve the treatment effect, and allow patients to recover as soon as possible. But before treatment, pay attention to some key issues. The patient's ascites cells should be positive, that is, there must be tumor cells; the CA125 level is high and sensitive to chemotherapy; the possibility of complete removal of the tumor is small. This chemotherapy is usually stopped every 3 weeks and can be done for 1~2 courses.

Radiotherapy for ovarian cancer: The radiosensitivity of ovarian malignant tumors varies greatly. Ovarian germinal sinus tumor, immature teratoma, and embryonal carcinoma are the least sensitive, ovarian epithelial cancer and granulosa cell carcinoma are moderately sensitive, and dysgerminoma is the most sensitive. It can be controlled by postoperative radiotherapy.

Since ovarian cancer metastasizes to the abdominal cavity in the early stage, the reflection range includes the abdominal cavity and pelvic cavity. Maintain the liver and kidney areas to avoid radiation damage. Microscopic residual tumors or ruptures during the first-stage tumor surgery can improve the five-year survival rate. The disadvantage is that the abdominal cavity must be free of adhesions to allow the radioactive isotope to be evenly distributed, otherwise it will cause intestinal damage and form serious consequences.