| Abstract: | With this research work our aim is to summarise the bulgarian and the experience of foreign /western/ authors in the field of treatment of the advanced ovarian cancer. We summerised the experience from the treatment of 250 patients for 5 years period /from 2000 till 2006/. On the basis from the results of treatment we tried to produce algorrhythm, which can be used from the oncogynaecologists in their everyday practice. We are convinced that with the development of the oncogynaecological science and practice this algorrhythm can be bettered. The main therapeutical approaches for the treatment of the advanced ovarian cancer include: primary cytoreductive surgery, neoadjuvant and adjuvant chemotherapy, interval debulking, second look laparotomy, intestinal resections and anastomosis. Very often is made resection of the bladder and reanastomosis of the ureters. The use of new chemotherapeutics, radiotherapy, hormonal medicaments and immunotherapy will better the fight against the advanced ovarian cancer. |
