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Review
. 2025 Sep;132(4):640-653.
doi: 10.1002/jso.70055. Epub 2025 Jul 29.

Surgery in Ovarian Cancer-Brazilian Society of Surgical Oncology Consensus

Audrey Tieko Tsunoda  1   2   3   4 , Ricardo Dos Reis  5   6 , Renato Moretti-Marques  7 , Glauco Baiocchi  8 , Leonardo Martins Campbell  9 , Angelica Nogueira Rodrigues  10 , Fabio Fin  11   12 , Carlos Eduardo Mattos da Cunha Andrade  5   13 , Bruno Roberto Braga Azevedo  14   15 , Rosilene Jara Reis  16   17   18 , Thales Paulo Batista  19 , Reitan Ribeiro  3   20 , Deraldo Falcao  21 , Gustavo Guitmann  22   23 , Suzana Arenhart Pessini  24 , Paulo Henrique Zanvettor  25   26 , João Soares Nunes  4   27 , José Clemente Linhares  3   4 , José Augusto Belotti  22   28 , Alexandre Oliveira  29   30   31 , Rodrigo Nascimento Pinheiro  30   32
Affiliations
Review

Surgery in Ovarian Cancer-Brazilian Society of Surgical Oncology Consensus

Audrey Tieko Tsunoda et al. J Surg Oncol. 2025 Sep.

Abstract

Surgical management in epithelial ovarian cancer (EOC) has a significant impact on overall survival (OS) and progression-free survival (PFS). The Brazilian Society of Surgical Oncology (BSSO) supported an expert-led task force for consensus: the best EOC surgery is provided by experienced and specialized trained surgeons in cancer centers. Laparoscopic or radiological staging can predict the possibility of complete cytoreduction (CC0) and help to reduce unnecessary laparotomies. Carcinomatosis and nodal extension should be evaluated at imaging. Multidisciplinary input is essential for determining the need for the selection of patients for surgery and adjuvant chemotherapy in patients with EOC. The BSSO proposes quality assurance criteria and the need for national consensus. Genetic counseling was deemed mandatory for all patients with EOC. This consensus states the final recommendations from BSSO for the management of EOC.

Keywords: Brazilian Society of Surgical Oncology; consensus; epithelial ovarian cancer; surgery.

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Conflict of interest statement

The authors do not have relevant financial, personal, political, intellectual, or religious interests. Audrey Tieko Tsunoda received honorary for educational lectures and/or advisory board activities for Roche, AstraZeneca, MSD, GSK, and Johnson & Johnson. Renato Moretti‐Marques received honorary for educational lectures for Roche and AstraZeneca. Reitan Ribeiro received honorary for educational lectures and material development, and consulting from Roche, and educational lectures from Johnson & Johnson, GSK, MSD, and AstraZeneca. Carlos Eduardo Mattos da Cunha Andrade received honorary for educational lectures and material development from AstraZeneca, without competing interests with this study.

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