General conservative operation in malignant ovarian tumors of the stage Ia (T1aN0M0)
Buchholz, K.; Richter, P.; Lotze, W.
Zentralblatt für Gynakologie 107(3): 179-183
1985
ISSN/ISBN: 0044-4197 PMID: 2984861 Document Number: 253065
In the Gynecological Clinic of the Medical Academy Dresden 585 women with primary malignant ovarian tumors were attended from 1953 until 1979. 118 patients (20,2%) were classified as stage I, 97 (82,2%) of them as stage Ia. A unilateral adnexectomy was carried out in only 25 women (25,8%) at stage Ia, 13 (13,4%) of them were younger than 40 and did not undergo additional therapy because they wanted to have a child. Six women were not subjected to additional treatment due to old age and general condition. Five of the 13 younger women gave birth to viable children after an average of 50 months, one patient was confined for the second time after further 24 months. Eighteen (95%) of 19 exclusively conservative operated on women survived the 5-year-period free of tumor. All these women were younger than 40. -After an average of 73 months six young women had to undergo relaparotomy and radical operation under suspicion of recurrence. In two cases a tumor recidivation was found, one where of was precancerous. Benefits and risks of the conservative approach in primary treatment are discussed and attention is drawn to the necessity of secondary radical operation.