Fertility-sparing surgery for treatment of non-epithelial ovarian cancer: Oncological and reproductive outcomes in a prospective nationwide population-based cohort study
For young women with early stage ovarian cancer the decision as to the extent of surgery to undergo is difficult. Preservation of fertility is important, the concern is; does this mean an increased risk of recurrence?
This survey of the Swedish Quality Register for Gynecological Cancer identified 73 women, aged 18-40, with stage I ovarian cancer during the period 2008-2015. Most (78%) had ovary-sparing surgery, the others opted for full pelvic clearance.
The outcomes were good for both groups; the 5 years overall survival rate was 98%. There was no statistical difference in outcomes; the fertility of those women who had limited surgery was preserved, only 12% requiring IVF therapy.
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