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✅Subscribe Doctor Why on Telegram - https://t.me/doctorwhymed_bot (press start, and choose your plan) Surgical Staging and Optimal Cytoreduction: The Cornerstone of Management Unlike many other cancers where biopsies often precede major surgery, the standard approach for a suspicious ovarian mass often involves primary surgery that serves both for definitive diagnosis (histopathology) and comprehensive surgical staging (determining the extent of disease spread according to FIGO criteria), and initial treatment (tumor removal). For advanced epithelial ovarian cancer, achieving "optimal cyto-reduction" (also called debulking) – surgically removing all visible tumor, ideally to "no residual disease" (NRD) or less than 1 centimeter of residual tumor – is one of the most significant prognostic factors for survival. This complex surgery should ideally be performed by a specialist Gynecologic Oncologist who has the expertise to perform extensive procedures like bowel resection, splenectomy, or diaphragm stripping if needed to achieve optimal debulking. Referral to a specialist center is critical. #ovariancancer #tumors #surgery Professor Armen Astvatsatryan, MD, PhD, ScD, Fellow of European Society of Cardiology. First Dean and Founder of Faculty of Public Health of European Regional Educational Academy (now University). One of 100 Top Health Professionals - 2007 by the International Biographical Center`s (Cambridge, England) [email protected] https://t.me/ugolokdoctora / armenastvatsatryan