%0 Journal Article %T Segundas l¨ªneas en c¨¢ncer de ovario: £¿hay un est¨¢ndar? %A Gonz¨¢lez Mart¨ªn %A A. %A Murcia %A M. %A Vaz %A M. A. %A L¨®pez Miranda %A E. %A L¨®pez Garc¨ªa %A M. %J Oncolog¨ªa (Barcelona) %D 2007 %I Scientific Electronic Library Online %R 10.4321/S0378-48352007000100002 %X recurrent ovarian carcinoma is usually incurable and palliative chemotherapy is the treatment of choice. in those patients considered as platinum-sensitive (with a platinum-free interval over 6 months) we have enough evidence to recommend carboplatin-based combination chemotherapy, due to the impact in survival observed in clinical trials comparing carboplatin monotherapy versus combination chemotherapy. on the other band, in those patient with progression to a platinum based chemotherapy (refractory) or with relapse in a period of less than 6 months (resistant), sequential monotherapy with active drugs in the second line is the recommended approach. the absence of a standard drug in this context makes that the choice should be based on toxicity criteria, quality of life and the preference of the patient. %K recurrent ovarian cancer %K second line %K platinum sensitive %K platinum resistant. %U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0378-48352007000100002&lng=en&nrm=iso&tlng=en