title: Long-term follow-up results of fertility sparing surgery in patients with epithelial ovarian cancer.
abstract: OBJECTIVE
  To assess clinical and obstetric outcome in young patients with epithelial ovarian cancer treated with fertility sparing surgery.
  
  
  METHODS
  Eighteen patients younger than 40 years carrying epithelial ovarian tumors were submitted to fertility sparing surgery between 1988 and 2003. Disease-free (DFS) and overall survival (OS) were analyzed using the Kaplan-Meier method. Statistical analysis was performed with the chi(2) test.
  
  
  RESULTS
  Disease free survival (DFS) 83.3% and overall survival (OS) 94.4% of patients treated with conservative surgery at 10 years. Up to date, six of seven patients who attempted pregnancy delivered seven healthy newborns.
  
  
  CONCLUSIONS
  Conservative surgery in young women with epithelial ovarian cancer is an appropriate therapeutic option in patients who wish to preserve childbearing potential. Long-term follow-up results shows excellent overall survival and pregnancy results.
authors.affiliation: Gynecologic Oncology Program, Buenos Aires University, Buenos Aires, Argentina. janch@intramed.net
authors.forename: Juan P
authors.initials: JP
authors.lastname: Anchezar
authors.forename: Juan
authors.initials: J
authors.lastname: Sardi
authors.forename: Alejandro
authors.initials: A
authors.lastname: Soderini
mesh_terms: D000328:Adult; D005260:Female; D005298:Fertility; D005500:Follow-Up Studies; D006801:Humans; D009375:Neoplasms, Glandular and Epithelial / Q000401:mortality / Q000601:surgery*; D010051:Ovarian Neoplasms / Q000401:mortality / Q000601:surgery*; D011379:Prognosis