Standard Treatment The involved ovary and fallopian tube and a wedge biopsy of the opposite, normal-appearing ovary and meticulous surgical staging is performed in women who want to preserve their fertility. Women with Stage Ia disease require no further treatment.
About 20 percent of women will have microscopic disease in the opposite, apparently normal ovary (Stage Ib). For women who do not desire more children or who are approaching menopause, a hysterectomy and removal of both tubes and both ovaries is performed.
Investigational None.
Stage lb
Standard Treatment Women with this stage of disease are usually treated with three courses of cisplatin , bleomycin and etoposide or whole-abdominal radiation therapy after hysterectomy, removal of both fallopian tubes and ovaries and meticulous surgical staging.
Investigational
• Combinations of chemotherapy including carboplatin and ifosfamide .
