Current Status and Controversies in Neoadjuvant Chemotherapy for Advanced Stage Ovarian Cancer: A Review

Objective: To evaluate the role of neoadjuvant chemotherapy (NACT) in the management of advanced ovarian cancer (AOC), with a focus on patient eligibility, pre-NACT diagnosis, treatment, timing of interval cytoreductive surgery (ICS) and the target of ICS, challenges in ICS, response assessment, cha...

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Main Authors: Jiaxi Li, Jitong Zhao, Shuying Liao, Ce Bian
Format: Article
Language:English
Published: IMR Press 2023-11-01
Series:Clinical and Experimental Obstetrics & Gynecology
Subjects:
Online Access:https://www.imrpress.com/journal/CEOG/50/11/10.31083/j.ceog5011246
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author Jiaxi Li
Jitong Zhao
Shuying Liao
Ce Bian
author_facet Jiaxi Li
Jitong Zhao
Shuying Liao
Ce Bian
author_sort Jiaxi Li
collection DOAJ
description Objective: To evaluate the role of neoadjuvant chemotherapy (NACT) in the management of advanced ovarian cancer (AOC), with a focus on patient eligibility, pre-NACT diagnosis, treatment, timing of interval cytoreductive surgery (ICS) and the target of ICS, challenges in ICS, response assessment, changes in the tumor microenvironment during NACT, platinum resistance. Mechanism: NACT precedes cytoreductive surgery and shrinks tumors, thereby improving surgical success. Findings in Brief: NACT shows promising results for improving tumor reduction rates and improve prognosis. Conclusions: NACT has emerged as a promising treatment strategy for AOC.
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spelling doaj.art-8608182dec604527ac24ba007838b1312023-12-08T02:49:17ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632023-11-01501124610.31083/j.ceog5011246S0390-6663(23)02238-8Current Status and Controversies in Neoadjuvant Chemotherapy for Advanced Stage Ovarian Cancer: A ReviewJiaxi Li0Jitong Zhao1Shuying Liao2Ce Bian3Department of Gynecology and Obstetrics, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaDepartment of Gynecology and Obstetrics, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaDepartment of Gynecology and Obstetrics, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaDepartment of Gynecology and Obstetrics, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, West China Second Hospital, Sichuan University, 610041 Chengdu, Sichuan, ChinaObjective: To evaluate the role of neoadjuvant chemotherapy (NACT) in the management of advanced ovarian cancer (AOC), with a focus on patient eligibility, pre-NACT diagnosis, treatment, timing of interval cytoreductive surgery (ICS) and the target of ICS, challenges in ICS, response assessment, changes in the tumor microenvironment during NACT, platinum resistance. Mechanism: NACT precedes cytoreductive surgery and shrinks tumors, thereby improving surgical success. Findings in Brief: NACT shows promising results for improving tumor reduction rates and improve prognosis. Conclusions: NACT has emerged as a promising treatment strategy for AOC.https://www.imrpress.com/journal/CEOG/50/11/10.31083/j.ceog5011246advanced stage ovarian cancerneoadjuvant chemotherapyinterval cytoreductive surgery
spellingShingle Jiaxi Li
Jitong Zhao
Shuying Liao
Ce Bian
Current Status and Controversies in Neoadjuvant Chemotherapy for Advanced Stage Ovarian Cancer: A Review
Clinical and Experimental Obstetrics & Gynecology
advanced stage ovarian cancer
neoadjuvant chemotherapy
interval cytoreductive surgery
title Current Status and Controversies in Neoadjuvant Chemotherapy for Advanced Stage Ovarian Cancer: A Review
title_full Current Status and Controversies in Neoadjuvant Chemotherapy for Advanced Stage Ovarian Cancer: A Review
title_fullStr Current Status and Controversies in Neoadjuvant Chemotherapy for Advanced Stage Ovarian Cancer: A Review
title_full_unstemmed Current Status and Controversies in Neoadjuvant Chemotherapy for Advanced Stage Ovarian Cancer: A Review
title_short Current Status and Controversies in Neoadjuvant Chemotherapy for Advanced Stage Ovarian Cancer: A Review
title_sort current status and controversies in neoadjuvant chemotherapy for advanced stage ovarian cancer a review
topic advanced stage ovarian cancer
neoadjuvant chemotherapy
interval cytoreductive surgery
url https://www.imrpress.com/journal/CEOG/50/11/10.31083/j.ceog5011246
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AT jitongzhao currentstatusandcontroversiesinneoadjuvantchemotherapyforadvancedstageovariancancerareview
AT shuyingliao currentstatusandcontroversiesinneoadjuvantchemotherapyforadvancedstageovariancancerareview
AT cebian currentstatusandcontroversiesinneoadjuvantchemotherapyforadvancedstageovariancancerareview