Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Patient, 72 years old, 1. 4 years of coronary artery disease, currently, basically stable; 2. abdominal distention and painful ascites, lasting for almost a month, nausea and vomiting. Currently, he is being seen at a local hospital. Ultrasound, CT and color ultrasound confirmed the diagnosis of ovarian cancer metastasis. Can you give some treatment suggestions Hospital: Hello, I have read the medical records. The treatment principle of ovarian cancer is surgery + chemotherapy. If surgery is possible, surgery should be performed first, followed by sufficient courses of chemotherapy according to the stage of surgery. However, if the patient is old and has a lot of ascites, or has poor physical condition to tolerate surgery, or is too late for satisfactory surgery, neoadjuvant chemotherapy can be administered first, and after chemotherapy, most sensitive patients can have their ascites under control, recover their physical condition to eat and have their tumor shrink, and then have surgery. However, the premise is that the diagnosis of the disease is basically clear, such as at least the presence of adenocarcinoma cells in the cytology of ascites, or the presence of adenocarcinoma pathology in the ovarian tumor aspiration before treatment. Of course, according to your mother’s symptoms, it is also necessary to identify whether it is a Keukenbo tumor that metastasizes from gastrointestinal tract to ovary, and if it is a metastatic tumor, the treatment modality is different. Gastroscopy, colonoscopy and tumor markers should be done to clarify.