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Yes
from Section III - Ovarian Cancer
Published online by Cambridge University Press: 20 July 2023
The value of tertiary surgery in recurrent ovarian cancer is not well known due to the weak evidence we have, coming exclusively from retrospective series. Nevertheless, these retrospective studies have shown that achieving a complete cytoreduction at the time of the tertiary surgery improves patient overall survival compared with any residual tumor left. Unfortunately, there are not prospectively validated criteria predictive of complete cytoreduction; thus, patient selection is highly biased, and indiscriminate tertiary surgery outside of specialized centers should not be accepted.
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