Long-term survival of young women receiving fertility-sparing surgery for ovarian cancer in comparison with those undergoing radical surgery
Menée sur 572 patientes atteintes d'un carcinome épithélial de l'ovaire, cette étude rétrospective compare la survie à 5 ans de patientes réparties en deux groupes, les unes ayant subi un traitement chirurgical préservant les fonctions reproductrices, les autres une chirurgie radicale
Objectives : To compare the clinical outcome of patients with stage I epithelial ovarian cancer (EOC) who received with fertility-sparing surgery (FSS) with those who underwent radical surgery (RS). Methods :After a central pathological review and search of the medical records from multiple institutions, a total of 572 patients were retrospectively evaluated. All patients were divided into three groups: group A {FSS (n=74); age, less than or equal to40}; groups B and C [RS; age, 40greater than or equal to{(B), n=52}; 40<{(C), n=446}]. Results : Five-year overall survival (OS) and disease-free survival (DFS) rates of patients in the groups were as follows: group A, 90.8% (OS)/87.9% (DFS); group B, 88.3% (OS)/84.4% (DFS); group C, 90.6% (OS)/85.3% (DFS), respectively (OS, P=0.802; DFS, P=0.765). Additionally, there was no significant difference in OS and DFS among the three groups stratified to stage IA or IC (OS (IA), P=0.387; DFS (IA), P=0.314; OS (IC), P=0.993; DFS (IC), P=0.990, respectively). Furthermore, patients with a grade 1–2 or 3 tumours in the FSS group did not have a poorer prognosis than those in the RS group. Conclusions : Stage I EOC patients treated with FSS showed an acceptable prognosis compared with those who underwent RS.