Open Access
CC BY 4.0 · Indian J Med Paediatr Oncol 2024; 45(02): 095-105
DOI: 10.1055/s-0042-1742321
Review Article

Therapy for Recurrent High-Grade Epithelial Ovarian Cancer—The Current Status and Future Trends

Vallathol Dilip Harindran
1   Department of Medical Oncology, MVR Cancer Centre and Research Institute, Calicut, Kerala, India
,
V.P. Sanudev Sadanandan
1   Department of Medical Oncology, MVR Cancer Centre and Research Institute, Calicut, Kerala, India
,
P. Vishnu Sreedath
1   Department of Medical Oncology, MVR Cancer Centre and Research Institute, Calicut, Kerala, India
,
Parameswaran Prashanth
1   Department of Medical Oncology, MVR Cancer Centre and Research Institute, Calicut, Kerala, India
,
K.V. Sajeevan
1   Department of Medical Oncology, MVR Cancer Centre and Research Institute, Calicut, Kerala, India
,
P.S. Sreedharan
1   Department of Medical Oncology, MVR Cancer Centre and Research Institute, Calicut, Kerala, India
,
Narayanankutty Warrier
1   Department of Medical Oncology, MVR Cancer Centre and Research Institute, Calicut, Kerala, India
› Author Affiliations
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Abstract

Ovarian malignancy is the seventh most frequently diagnosed cancer among women. The most common type is epithelial ovarian cancer. Several subtypes with distinct biological and molecular properties exist, and there is inconsistency in availability of and access to different modalities of treatment. The standard first-line management is combining surgery and platinum-based chemotherapy. Most of them are diagnosed at an advanced stage due to which they have poor outcomes. The existing screening tests have a low predictive value. Even with the best available upfront treatment, high rates of recurrences are observed. As a result, there have been major advances in the treatment of recurrences with the development of anti-angiogenic agents and PARP inhibitors. It has led to the improvement in survival and quality of life among the relapsed epithelial ovarian cancers. This review is focused on the management of recurrent epithelial ovarian cancers and future directions based on current evidence. The application of a personalized and structured approach will meaningfully bring changes in the paradigm of care in these groups of patients.



Publication History

Article published online:
29 September 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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