Recommendations of the fertility task force of the european society of gynecologic oncology about the conservative management of ovarian malignant tumors

Philippe Morice, Dominik Denschlag, Alex Rodolakis, Nick Reed, Achim Schneider, Vesna Kesic, Nicoletta Colombo

Research output: Contribution to journalArticle

Abstract

In young patients with borderline ovarian tumor a conservative treatment approach does not seem to have a significant impact on survival, and the outcome regarding fertility is good in general. It can be considered even if noninvasive peritoneal implants are discovered at the time of the initial surgery. In contrast, in patients with epithelial ovarian cancer, conservative surgery should be considered only in adequately staged patients, with a stage IA grade 1 (and probably 2) serous, mucinous or an endometrioid tumor, including a careful follow-up. Such an approach could also probably be discussed in stage IC grade 1 disease. In patients with nonepithelial malignant ovarian tumors, conservative surgery is also feasible, particularly in patients with malignant germ cell tumors because of their high chemosensitivity leading to an excellent prognosis in general.

Original languageEnglish
Pages (from-to)951-963
Number of pages13
JournalInternational Journal of Gynecological Cancer
Volume21
Issue number5
DOIs
Publication statusPublished - Jun 2011

Keywords

  • Borderline tumor
  • Conservative treatment
  • Epithelial tumor
  • Fertility
  • Nonepithelial tumor
  • Ovarian cancer
  • Recurrence

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Oncology

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