Postop Management

First-line chemotherapy: Paclitaxel and cisplatin or paclitaxel and carboplatin:

Stage I—II Only chemotherapy if stage I/IIC or high-grade tumor

Stage III-IV Chemotherapy, plus:

Radiation if residual tumor < 2 cm

Interval debulking if tumor > 2 cm (internal debulking means additional surgery after chemotherapy)

Ovarian and endometrial tumors are staged surgically, whereas cervical cancer is staged clinically.

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