This guideline covers detecting, diagnosing and treating women (18 years and older) who have, or are suspected of having, epithelial ovarian cancer, fallopian tube cancer, primary peritoneal cancer or borderline ovarian cancer. It aims to enable earlier detection of ovarian cancer and improve initial treatment.
This guideline includes recommendations on:
- detection in primary care
- establishing the diagnosis in secondary care
- management of suspected early (stage I) ovarian cancer
- management of advanced (stage II–IV) ovarian cancer
- support needs of women with newly diagnosed ovarian cancer
Who is it for?
- Healthcare professionals
- Commissioners and providers
- People who provide palliative and hospice care for the NHS
- Women with ovarian cancer and their families and carers
Is this guideline up to date?
We checked this guideline in March 2016 and we are updating the recommendations on detection in primary care and establishing a diagnosis in secondary care.
Next review: To be scheduled
Guideline development process
The recommendations in section 1.1 on detection in primary care have been incorporated into NICE guideline NG12 (June 2015). Recommendation 126.96.36.199 in this guideline partially replaces recommendation 188.8.131.52 in NICE guideline CG61 (February 2008).
This guideline was previously called ovarian cancer: the recognition and initial management of ovarian cancer.
The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The application of the recommendations in this guideline is not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.
Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.