Recommendations of the Fertility Task Force of the European Society of Gynecologic Oncology About the Conservative Management of Ovarian Malignant Tumors

被引：97
|
作者：
Morice, Philippe [1 ]
Denschlag, Dominik [1 ]
Rodolakis, Alex [1 ]
Reed, Nick [1 ]
Schneider, Achim [1 ]
Kesic, Vesna [1 ]
Colombo, Nicoletta [1 ]
机构：
[1] ESGO Task Force Fertil Preservat Gynecol Canc, Geneva, Switzerland
来源：
INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER | 2011年 / 21卷 / 05期
关键词：
Borderline tumor; Conservative treatment; Epithelial tumor; Fertility; Nonepithelial tumor; Ovarian cancer; Recurrence; SEROUS BORDERLINE TUMORS; GERM-CELL TUMORS; SPARING SURGERY; REPRODUCTIVE FUNCTION; FOLLOW-UP; PERITONEAL IMPLANTS; MICROPAPILLARY PATTERN; PROGNOSTIC-FACTORS; CLINICOPATHOLOGICAL ANALYSIS; DIAGNOSTIC-CRITERIA;
D O I：
10.1097/IGC.0b013e31821bec6b
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
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.
引用
收藏
页码：951 / 963
页数：13
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