The potential and feasibility of conservative therapy for the early stages of ovarian cancerĭ
Bakhidze, E.V.; Gulo, E.I.; Maksimov, S.I.; Chepik, O.F.; Gederim, M.N.
Voprosy Onkologii 45(6): 674-679
1999
ISSN/ISBN: 0507-3758 PMID: 10703521 Document Number: 502631
Improvement in techniques of early diagnosis of ovarian cancer (OC) has highlighted the importance of development of methods of conservative surgery. Numerous researchers have failed so far to reach consensus on working out strategies of treatment. A retrospective analysis of clinico-morphological data on 176 patients with bordar-line and OC stage I (conservative surgery--46; radical--130) (1980-1985) showed that efficacy depended on tumor pattern rather than method of treatment. Given high risk of recurrence in unremoved ovary (2 out of 28 reproductive females), bilateral salpingo-oophorectomy without removal of the uterus is discussed as an alternative procedure of conservative therapy. Modern procedures of this therapy requiring accurate staging and monitoring can be carried out at large medical centers only.