[Tumours of the ovary in young women. The way they arise and the limits of conservative treatment (author's transl)].
Although tumours of the ovary are rare in woman under the age of 35 they are not exceptional and they form 15 p. 100 of the cases (17 patients) out of a series of 112 tumours of the ovary which were collected in 7 years. 11 of these patients had only one ovary affected and were able to be treated conservatively. In this way 5 of them were able to carry one or more pregnancies to term and another patient who was lost from observation for two years had to have a second operation to deal with a recurrence in the opposite ovary. Conservative treatment is only permissible if one is absolutely sure that the contro-lateral ovary is normal, and if there is the slightest doubt ovariotomy should be carried out to perform a biopsy. Furthermore the authors suggest that in view of the difficulties of strict supervision for a long term the opposite ovary and tube should be removed and hysterectomy carried out once the patient has had one or two children or when they have reached the age of 40.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002369:Castration; D004407:Dysgerminoma / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy; D009364:Neoplasm Recurrence, Local; D010051:Ovarian Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D010053:Ovary / Q000601:surgery*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology
Les tumeurs de l'ovaire de la femme jeune. Modalités et limites du traitement conservateur.