Treatments
We only discuss here epithelial tumors and mainly high-grade serous cancers.
The treatment of ovarian cancer combines surgery, chemotherapy almost constantly and frequently new treatments that have recently appeared such as an anti-angiogenic (bevacizumab or AVASTIN), or a PARP inhibitor (olaparib or LYNPARZA, niraparib or ZEJULA, rucaparib or RUBRACA).
Surgery is an important treatment for ovarian cancer. Its objective is to remove all of the tumor present in the ovaries, small pelvis and abdomen. It is then said to be complete. For the early stages, affecting only one ovary, it may be the only treatment needed.
Chemotherapy is the other important treatment for ovarian cancer. It usually combines two drugs (paclitaxel TAXOL and carboplatin CARBOPLATIN) and aims to treat any remaining cancer cells after surgery.
Anti-angiogenic treatment (bevacizumab or AVASTIN) aims to modulate the vascularization of tumor areas. It is given as an adjunct to chemotherapy.
PARP inhibitors modulate DNA repair. They are indicated in patients whose cancer is due to a hereditary predisposition (genetic mutation) or in patients whose cancers are biologically similar.
The choice of treatments, their association, their sequences, is decided according to the stage, the grade, the presence of a genetic mutation etc. It is therefore a “personalized” treatment.