IMR Press / EJGO / Volume 19 / Issue 2 / pii/1998130

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research

Ovarian germ cell tumors

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1 Servicio de Ginecología, Hospital Materno-Jnfantil de la Vall d’Hebrón, Universidad Autónoma de Barcelona, Spain
Eur. J. Gynaecol. Oncol. 1998, 19(2), 130–134;
Published: 10 April 1998
Abstract

Ovarian germ cell tumors (OGCT) are a special type of ovarian cancers due to their histology, age of presentation, prognosis and treatment. Material and methods: Eighteen cases of OGCT out of 313 total ovarian cancer diagnosed in Hospital Materno-Infantil Vall d’He­bredn between 1975 and 1994 are present. Results: Mean age of the patients was 36 years. The most frequent symptom at diagno­sis was abdominal bloating (44.5%). Echography was the most used diagnostic method (67%). Surgery was conservative in 44% of the cases, radical in 50% of the cases and palliative in one case. The histological types were 6 dysgerminomas and 6 malignant teratomas (33.3%), 3 malignant dermoid cysts (16.7%), 2 yolk sac tumors (11%) and I embryonal carcinoma. According to FIGO 1987 staging classification 14 patients were in stage I disease and 4 in stage III disease. Polyche­motherapy was performed on 6 patients and postsurgical radiotherapy was performed on 2 patients. Five patients recurred in an average time of 25 months. The five-year survival rate, according to the Kaplan-Meier method, was 80% in stage I and 0% in stage III. Five-year survival rate of patients only surgically treated was 65% and in patients who underwent postsurgical co-adjuvant treatment it was 100%. Conclusion: Conservative surgery followed by a BEP regimen may be performed nowadays with efficacy and acceptable toxicity while conserving the fertility of these patients.

Keywords
Ovarian germ cell tumors
Cisplatin based-chemotherapy
Ovary dysgerminoma
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