Outcomes of fertility‐sparing surgery for women of reproductive age with FIGO stage IC epithelial ovarian cancer. Issue 1 (23rd January 2013)

• Record Type: Journal Article
• Authors: Kashima, Katsunori; Yahata, Tetsuro; Fujita, Kazuyuki; Tanaka, Kenichi
• Is Part Of: International journal of gynaecology and obstetrics. Volume 121:Issue 1(2013)
• Page Start: 53
• Page End: 55
• Publication Date: 2013-01-23
• Subjects: Clinical outcome -- Epithelial ovarian cancer -- Fertility‐sparing surgery -- FIGO stage IC -- Pregnancy; Gynecology -- Periodicals; Obstetrics -- Periodicals; Electronic journals; 618
• DOI: 10.1016/j.ijgo.2012.10.027
• Languages: English
• ISSNs: 0020-7292

Abstract

Abstract: Objective: To report the clinical outcomes of patients with FIGO stage IC epithelial ovarian cancer (EOC) treated by fertility‐sparing surgery (FSS). Methods: A retrospective review was conducted of 18 women who underwent FSS at Niigata University Hospital, Japan, between December 15, 1986, and December 31, 2010. Results: Tumors were mucinous (n = 9), clear cell (n = 4), endometrioid (n = 3), and serous (n = 2). Median follow‐up was 78.0 months (range, 9.3–181.3 months). Five patients (27.8%) developed tumor recurrence at 7.4–19.2 months after initial surgery. The sites of recurrence were peritoneal lymph nodes (n = 2), contralateral ovary (n = 1), contralateral ovary and peritoneal cavity (n = 1), and brain (n = 1). In all, 7 full‐term singleton pregnancies were recorded among 5 of the 10 women who attempted to conceive after FSS. Conclusion: Favorable reproductive outcomes were observed following FSS, suggesting that this procedure may be a valid treatment option for women with FIGO stage IC EOC who wish to conceive.