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The Use of Biomarkers to Stratify Surgical Care in Women with Ovarian Cancer (Scientific Impact Paper No. 69)

This Scientific Impact Paper highlights research that may pave the way towards bespoke surgery according to the biological characteristics of a tumour and aid gynaecological oncologists to provide surgical treatment according to individual need, rather than a blanket approach for all.

Plain-language summary

Biomarkers may offer unforeseen insights into clinical diagnosis, as well as the likely course and outcome of a condition.

In this paper, the focus is on the use of biological molecules found in body fluids or tissues for diagnosis and prediction of outcome in ovarian cancer patients.

In cancer care, biomarkers are being used to develop personalised treatment plans for patients based on the unique characteristics of their tumour.

This tailoring of care can be used to pursue specific targets identified by biomarkers, or treat the patient according to specific tumour characteristics.

Surgery is one of the core treatments for ovarian cancer, whether it is offered in primary surgery or following chemotherapy in delayed surgery.

Biomarkers already exist to guide the treatment of tumours with chemotherapy, but very little research has determined the value of biomarkers in tailoring surgical care for ovarian cancer.

Such research is required to identify new biomarkers and assess their effectiveness in a clinical setting as well as help identify specific tumour types to guide surgery.

Biomarkers could help to determine the success of removing the disease surgically, or help identify tumour deposits that persist after chemotherapy.

All of these aspects would improve current practice.

This Scientific Impact Paper highlights research that may pave the way towards bespoke surgery according to the biological characteristics of a tumour and aid gynaecological oncologists to provide surgical treatment according to individual need, rather than a blanket approach for all.

COVID disclaimer: This Scientific Impact Paper was developed prior to the emergence of the COVID-19 coronavirus.

Version history: This is the first edition of this paper.

Please note that the Scientific Advisory Committee regularly assesses the need to update.

Further information on this review is available on request.

Developer declaration of interests:

Available upon request.