IMR Press / EJGO / Volume 42 / Issue 5 / DOI: 10.31083/j.ejgo4205127
Open Access Original Research
Oncologic and reproductive outcomes after fertility-sparing surgery in young women with malignant ovarian germ cell tumors
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1 Department of Obstetrics and Gynecology, Chonnam National University Medical School, 61469 Gwangju, Republic of Korea

These authors contributed equally.

Eur. J. Gynaecol. Oncol. 2021 , 42(5), 832–837; https://doi.org/10.31083/j.ejgo4205127
Submitted: 1 February 2021 | Revised: 3 March 2021 | Accepted: 4 April 2021 | Published: 15 October 2021
Copyright: © 2021 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
Abstract

Objective: This study evaluated the oncologic and obstetric outcomes after fertility-sparing surgery (FSS) in young patients with malignant ovarian germ cell tumors (MOGCTs). Methods: The medical records of women aged 40 years who underwent FSS for MOGCTs at our institution between July 2002 and December 2018 were retrospectively reviewed. FSS was defined as the preservation of the uterus and at least one adnexa. Results: Forty-four patients were included in this study. The median age of the patients was 22 years (range, 7–39 years). FIGO stage I (81.8%) was the most common, and stage II (6.8%), III (9.1%) and IV (2.3%) was also present. Twenty-nine patients (65.9%) received adjuvant chemotherapy with bleomycin, etoposide, and cisplatin (BEP) after a surgery. During a median follow-up period of 62 months (range, 7–185), four patients (9.1%) had a recurrence. Of these four patients, two with dysgerminoma had recurrences at para-aortic lymph nodes and two with immature teratomas had recurrences at the remaining ovary. Thirty-seven patients (88.1%) had regular menstruation. Of fourteen women desiring pregnancy, twelve achieved the term delivery of twelve singleton pregnancies. The pregnancy and live birth rates were 85.7% and 100%, respectively. Conclusions: FSS with or without following BEP chemotherapy is an appropriate option for young women with MOGCTs who wish to preserve their fertility.

Keywords
Malignant ovarian germ cell tumor
Fertility-sparing surgery
Oncologic outcome
Obstetric outcome
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