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Based on the \u201cseed and soil\u201d theory, ovarian cancer is considered to form a disseminated tumor that interacts with the peritoneum; superficial mesothelial cells are structurally important. Thus far, we have reported that peritoneal mesothelial cells, which originally are ecological defenses, transform into ovarian cancer\u2010associated mesothelial cells, which are allies of cancer. They are found to be actively involved in the formation of a friendly \u201csoil\u201d that promotes the survival of \u201cseeds\u201d of ovarian cancer cells. We also demonstrated that the progression of ovarian cancer and the induction of its refractory nature are partially mediated through competition and cooperation between ovarian cancer and mesothelial cells. We believe that it is necessary to shift the aim of treatment strategies from solely targeting cancer cells to focusing on the crosstalk between the surrounding environment and ovarian cancer, an approach that ultimately aims to achieve \u201ccoexistence\u201d with cancer through disease control.<\/jats:p>","DOI":"10.1111\/jog.15756","type":"journal-article","created":{"date-parts":[[2023,8,3]],"date-time":"2023-08-03T06:25:54Z","timestamp":1691043954000},"page":"2620-2628","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Ovarian cancer: Novel mechanisms and therapeutic targets regarding the microenvironment in the abdominal cavity"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5811-3137","authenticated-orcid":false,"given":"Masato","family":"Yoshihara","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Nagoya University Graduate School of 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