Treatment of pure stage one ovarian dysgerminoma in young women. Report of a case and review of the literature
Mazza, D.; Pozzi, M.; Sedati, A.; Vocaturo, G.
Minerva Ginecologica 51(1-2): 27-30
1999
ISSN/ISBN: 0026-4784 PMID: 10230241 Document Number: 509340
The authors report a case of stage 1 ovarian dysgerminoma (OD) in a young woman aged 23 who subsequently underwent conservative surgery. A review of the literature shows that in 80% of cases this neoplasia is present at stage 1A and 85% of patients are under 30, with a 5-year survival rate of 95%. OD treatment should therefore be personalized and, although it continues to be controversial, most authors agree that in young women in whom the disease is limited to one ovary, without lymph node metastases, treatment can be restricted to monolateral adnexectomy, thus assuring the patient's future fertility.