Treatment of ovarian tumors is, as a rule, a surgical operation (radical or organ preserving). The operation in most cases is the first step in the treatment of appendage neoplasms. Both benign and malignant non-epithelial ovarian neoplasms in young patients are more likely to affect one of the appendages. In this case, surgery will be performed to remove the affected ovary.
In women of childbearing age and in the postmenstrual period, a common process is more common when both ovaries are affected. In this case, abdominal hysterectomy is used with further study of the material obtained during the operation and determination of the tumor process stage. To exclude the possibility of uterine cancer, diagnostic curettage of its cavity is performed.
With germ cell tumors, unilateral removal of the affected ovary in young patients and extirpation of the uterus and appendages in elderly patients are used. When diagnosing dysgerminomas, bilateral ovarian resection is performed. A common tumor process requires extensive surgery with the removal of all tumor foci and affected lymph nodes.
Cytoreductive surgery is used to remove the maximum tumor volume in the case when its complete removal is impossible. Chemotherapy is used in all cases of oncological tumors of the second and higher stages, and is also often used as neoadjuvant (preoperative) chemotherapy.