Abstract
The authors of Harvard Medical School try to summarize current views and controversies about the radicality of primary surgical treatment of ovarian tumors. At present, we do not yet have a demonstrably effective method for the early detection of ovarian cancers, so even in the Czech Republic, the number of women who die from ovarian cancers is higher than the number of women who die from other gynecological cancers.
Unfortunately, clinical examination, high-quality ultrasonography and panels of tumor markers are so far able to detect only a part of mostly prognostically favorable ovarian malignancies. At present, it is still true in our country that we detect more than 75% of ovarian cancers in stages III and IV, ie with metastatic spread outside the small pelvis.