. . "Primary surgical treatment in ovarian cancer"@en . "Kl\u00E1t, Jaroslav" . "ovarian cancer; primary surgical treatment; residual tumor"@en . . "V" . "Prim\u00E1rn\u00ED chirurgick\u00E1 l\u00E9\u010Dba karcinomu ovaria" . . . "RIV/00843989:_____/12:00102514" . . . "Prim\u00E1rn\u00ED chirurgick\u00E1 l\u00E9\u010Dba karcinomu ovaria"@cs . "1"^^ . "Prim\u00E1rn\u00ED chirurgick\u00E1 l\u00E9\u010Dba ovari\u00E1ln\u00EDho karcinomu m\u00E1 z\u00E1sadn\u00ED v\u00FDznam jak stagingov\u00FD, tak l\u00E9\u010Debn\u00FD, umo\u017E\u0148uj\u00EDc\u00ED u \u010Dasn\u00FDch stadi\u00ED rozli\u0161it pacientky s velmi n\u00EDzk\u00FDm rizikem recidivy onemocn\u011Bn\u00ED, u kter\u00FDch m\u016F\u017Ee b\u00FDt upu\u0161t\u011Bno od adjuvantn\u00ED chemoterapie. V p\u0159\u00EDpad\u011B vy\u0161\u0161\u00EDch stadi\u00ED je standardn\u00ED l\u00E9\u010Debnou modalitou kombinace radik\u00E1ln\u00ED opera\u010Dn\u00ED l\u00E9\u010Dby s adjuvantn\u00ED chemoterapi\u00ED. Z\u00E1sadn\u00ED vliv na celkov\u00E9 p\u0159e\u017Eit\u00ED u operovan\u00FDch pacientek m\u00E1 velikost ponechan\u00E9ho n\u00E1dorov\u00E9ho rezidua. C\u00EDlem opera\u010Dn\u00ED l\u00E9\u010Dby by tak m\u011Blo b\u00FDt nulov\u00E9 (mikroskopick\u00E9) reziduum. Extendovan\u00E9 chirurgick\u00E9 v\u00FDkony (resek\u010Dn\u00ED operace na kli\u010Dk\u00E1ch st\u0159evn\u00EDch, splenektomie, resekce jater, odstran\u011Bn\u00ED peritonea br\u00E1nice atd.) u pokro\u010Dil\u00FDch stadi\u00ED onemocn\u011Bn\u00ED vy\u017Eaduj\u00ED multioborovou spolupr\u00E1ci. Z dostupn\u00FDch dat jasn\u011B vypl\u00FDv\u00E1, \u017Ee nejlep\u0161\u00ED v\u00FDsledky opera\u010Dn\u00ED l\u00E9\u010Dby jsou u pacientek operovan\u00FDch v onkogynekologick\u00FDch centrech."@cs . "CZ - \u010Cesk\u00E1 republika" . "1"^^ . . . "RIV/00843989:_____/12:00102514!RIV13-MZ0-00843989" . . . "2" . "161630" . "1802-4475" . "Prim\u00E1rn\u00ED chirurgick\u00E1 l\u00E9\u010Dba karcinomu ovaria" . "6" . "Onkologie" . . "3"^^ . "Prim\u00E1rn\u00ED chirurgick\u00E1 l\u00E9\u010Dba ovari\u00E1ln\u00EDho karcinomu m\u00E1 z\u00E1sadn\u00ED v\u00FDznam jak stagingov\u00FD, tak l\u00E9\u010Debn\u00FD, umo\u017E\u0148uj\u00EDc\u00ED u \u010Dasn\u00FDch stadi\u00ED rozli\u0161it pacientky s velmi n\u00EDzk\u00FDm rizikem recidivy onemocn\u011Bn\u00ED, u kter\u00FDch m\u016F\u017Ee b\u00FDt upu\u0161t\u011Bno od adjuvantn\u00ED chemoterapie. V p\u0159\u00EDpad\u011B vy\u0161\u0161\u00EDch stadi\u00ED je standardn\u00ED l\u00E9\u010Debnou modalitou kombinace radik\u00E1ln\u00ED opera\u010Dn\u00ED l\u00E9\u010Dby s adjuvantn\u00ED chemoterapi\u00ED. Z\u00E1sadn\u00ED vliv na celkov\u00E9 p\u0159e\u017Eit\u00ED u operovan\u00FDch pacientek m\u00E1 velikost ponechan\u00E9ho n\u00E1dorov\u00E9ho rezidua. C\u00EDlem opera\u010Dn\u00ED l\u00E9\u010Dby by tak m\u011Blo b\u00FDt nulov\u00E9 (mikroskopick\u00E9) reziduum. Extendovan\u00E9 chirurgick\u00E9 v\u00FDkony (resek\u010Dn\u00ED operace na kli\u010Dk\u00E1ch st\u0159evn\u00EDch, splenektomie, resekce jater, odstran\u011Bn\u00ED peritonea br\u00E1nice atd.) u pokro\u010Dil\u00FDch stadi\u00ED onemocn\u011Bn\u00ED vy\u017Eaduj\u00ED multioborovou spolupr\u00E1ci. Z dostupn\u00FDch dat jasn\u011B vypl\u00FDv\u00E1, \u017Ee nejlep\u0161\u00ED v\u00FDsledky opera\u010Dn\u00ED l\u00E9\u010Dby jsou u pacientek operovan\u00FDch v onkogynekologick\u00FDch centrech." . . "Prim\u00E1rn\u00ED chirurgick\u00E1 l\u00E9\u010Dba karcinomu ovaria"@cs . "Primary surgical treatment in ovarian cancer"@en . . "[128FDBD186E0]" . . "Completeness of the primary surgical staging in early-stage ovarian cancer has a strong impact on the prognosis and it could distinguish between low and high risk patients for the recurrence of the disease. The standard treatment of advanced-stage ovarian carcinoma includes radical cytoreductive surgery which aims at removing a visible tumor followed by platinum-based chemotherapy. Complete resection is achieved when no macroscopically visible residual tumor is left. The prognostic value of complete debulking on overall survival has been confirmed. In patients presenting with extensive metastatic tumor spread, complete tumor resection may require extensive upper abdominal surgery, including procedures such as diaphragm resection or peritonectomy, splenectomy, or partial liver resection. These extended surgical procedures require a multidisciplinary approach. The patients being treated in onco-gynecological centers have a higher chance to achieve complete tumor resection."@en .