Blogger's Note: it is not clear if the 2 patients lost in follow-up was due to death or lack of communication
Two patients (6.7%) were lost during follow up
abstract
AIM:
To
assess the role of fertility preserving surgery in treatment of
patients with stage
IA, G1 or G2 ovarian carcinoma
without adjuvant
chemotherapy.
PATIENTS AND METHODS:
From 2006 to 2008, a prospective non-randomized study recruited 150 women, with suspicious early malignant ovarian mass.
RESULTS:
Among
the 150 explored patients, only 43 (28.6%) patients underwent
exploration. Only 32/150 (21.3%) patients had proven stage IA, either G1
or G2, epithelial ovarian cancer. Among the 32 patients, 22 (68.7%)
patients were nullipara while 10 (32.1%) had one child. All patients had
unilateral tumors; 26 (81.25%) patients had G1 and 6 (18.75%) patients
had G2 tumors; 24/32 (75.0%) tumors were serous, 6/32 (18.7%) were
mucinous and 2/32 (6.2%) were endometrioid, and none was clear cell
type. The median follow up period was
58.5months (ranged: 48-72months).
Two patients (6.7%) were lost during follow up; data will be presented
for the remaining 30 patients. One patient, at 27th month of follow up,
had open abdominal exploration to investigate abnormal pelvic mass on
routine ultrasound follow up examination. Frozen section revealed
recurrent invasive mucinous tumor. She underwent radical surgery with
pelvic and para-aortic lymph node dissection, followed by adjuvant
chemotherapy, and remained free of disease, for the remaining 29months
of the follow up period. Neither distant metastases nor mortality were
reported among our patients.
CONCLUSION:
Fertility preserving surgery can be considered a safe treatment strategy in patients with stage IA, G1 or G2 ovarian carcinoma.
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