Long-Term Follow-Up Results of Fertility Sparing Surgery in Patients With Epithelial Ovarian Cancer

Background and Objective: To assess clinical and obstetric Outcome in young patients with epithelial ovarian cancer treated with fertility sparing surgery. Methods: Eighteen patients Younger than 40 years carrying epithelial ovarian tumors were submitted to fertility sparing Surgery between 1988 and 2003. Disease-free (DFS) and overall survival (OS) were analyzed using the Kaplan-Meier method. Statistical analysis was performed with the chi(2) test. Results: Disease free survival (DFS) 83.3% and overall survival (OS) 94.4% of patients treated with conservative surgery at 10 years. Up to date, six of seven patients who attempted pregnancy delivered seven healthy newborns. Conclusion: Conservative surgery in young women with epithelial ovarian cancer is an appropriate therapeutic option in patients who wish to preserve childbearing potential. Long-term follow-up results shows excellent overall survival and pregnancy results. J. Surg. Oncol. 2009; 100: 55-58. (C) 2009 Wiley-Liss, Inc.