MANAGEMENT IN EARLY OVARIAN CANCER: STANDARDS AND UNSOLVED PROBLEMS

The appropriate management of early-stage ovarian carcinoma is controversial. The literature has been analyzed to find answers to the following questions: how to make an early diagnosis of ovarian cancer and to minimize the treatment in order to avoid complica- tions and toxicity without any harm to health and to increase therapeutic effectiveness. The use of the current noninvasive techniques (positron emission tomography, magnetic resonance imaging) is shown to considerably improve the diagnostic estimation of the extent of a tumor. This fact and deeper knowledge of prognostic factors will allow us to optimize and individualize treatment.