HomeAnswersMedical oncologyovarian cancerWhat are the survival rates of clear cell ovarian carcinoma in a 60-year-old?

What treatment is best for my recurrent ovarian carcinoma?

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Published At June 3, 2022
Reviewed AtJune 3, 2022

Patient's Query

Hello doctor,

I am a 60-year-old female with recurrent clear cell carcinoma of the ovary. I had surgery to remove it six years ago, without any chemotherapy. I had undergone surgery again recently; however, some cancerous tissue remains. What treatment is recommended, and what are the survival rates?

Answered by Dr. Rajesh Gulati

Hi,

Welcome to icliniq.com.

In recurrence of ovarian cancer, six cycles of chemotherapy, injection of Paclitaxel and Carboplatin every three weeks should be done. After six cycles of chemotherapy, a repeat scan will be done to see the status of the cancer ovary. It is to check how much cancer has responded and plan accordingly. After each chemotherapy cycle, cancer antigen (CA 125) should be done. It should keep decreasing. The decreasing trend will also show that the cancer is responding. In case CA 125 starts increasing, a PET-CT scan should be done early. Usually, such cancers respond well.

I wish you the best.

Patient's Query

Hello doctor,

Is this the same for clear cell carcinoma of the ovary when it spreads in the pelvic region? And also, is the treatment every three weeks?

Answered by Dr. Rajesh Gulati

Hi,

Welcome back to icliniq.com.

Yes, it is for clear cell carcinoma. It should be given every three weeks for six cycles. Some doctors prefer to give every week for 18 weeks. This way, they give small doses every week. But it increases hospital visits and costs. So I like to give it for three weeks. I feel that toxicities can happen in weekly doses also.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Rajesh Gulati
Dr. Rajesh Gulati

Family Physician

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