© The Author 2006. Published by Oxford University Press.
EDITORIAL |
Is It Time for Some New Approaches for Treating Advanced Ovarian Cancer?
Correspondence to: William P. McGuire, MD, Weinberg Cancer Institute, Franklin Square Hospital Center, 9103 Franklin Square Dr., Ste. 2200, Baltimore, MD 21237 (e-mail: william.mcguire@medstar.net).
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Advanced ovarian cancer is considered to be relatively sensitive to cytotoxic agents and is usually described in medical textbooks as a solid tumor with the potential for cure by chemotherapy. Over the past two decades, the survivorship of patients with ovarian cancer has increased, even though only fewer than 40% of all ovarian cancer patients are cured. Because attempts to develop methods for effective early diagnosis of ovarian cancer have eluded investigators, any increase in long-term survivorship must reflect either more aggressive surgical cytoreduction or more effective therapy. The development of platinum-based combination therapies in the 1980s, in conjunction with expansion of training programs in gynecologic oncology to improve primary surgery, led to data suggesting that the survival rates for ovarian cancer patients would increase (1). With the introduction of the taxanes in the 1990s and their incorporation into primary chemotherapy came
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