Long-term consequences following conservative management of epithelial ovarian cancer in an infertile patient.
A 35-year-old woman with primary infertility underwent an ovarian cystectomy for a 5 x 4 cm left adnexal mass. There was no macroscopic evidence of metastatic disease. The final pathology report revealed a poorly differentiated serous cystadenocarcinoma. Because the patient desired to retain child-bearing capacity, she refused a surgical staging of her ovarian cancer. She elected to receive combination chemotherapy. This was then followed by a negative reassessment laparotomy. The patient was diagnosed with recurrent, metastatic ovarian carcinoma 10 years later.
Moore
M M
MM
Division of Gynecologic Oncology, Department of Hematology & Oncology, University of California, Irvine-Medical Center, 101 The City Drive, Orange, California 92868, USA.
Tewari
K
K
Rose
G S
GS
Fruehauf
J P
JP
DiSaia
P J
PJ
D000328:Adult; D018284:Cystadenocarcinoma, Serous / Q000150:complications* / Q000556:secondary / Q000601:surgery*; D005260:Female; D006801:Humans; D007247:Infertility, Female / Q000209:etiology*; D009364:Neoplasm Recurrence, Local; D010051:Ovarian Neoplasms / Q000150:complications* / Q000601:surgery*; D013997:Time Factors