Conventional therapy for epithelial ovarian cancer, including aggressi
ve cytoreductive surgery followed by combination chemotherapy regimens
, has failed to reduce the number of deaths caused by this disease, wh
ich remains the most lethal of gynecologic malignancies. Monoclonal an
tibodies, which offer the promise of high selectivity for detection an
d therapy, may be targeted to tumor-associated antigens, growth factor
s, receptors, or oncogenes. They may be used alone as immunotherapeuti
c agents or conjugated to chemotherapeutic drugs, toxins, or radionucl
ides. Radioimmunoconjugates may also be used for preoperative or intra
operative tumor localization, The authors focused on the clinical util
ity, technical limitations, and potential of monoclonal antibodies in
the detection and treatment of epithelial ovarian cancer with emphasis
on radioimmunodetection and radioimmunotherapy.