In regards to surgery it is recommended to perform total omentectomy since subclinic metastasis have been documented in 10 - 30 % of all cases , and systematic limphadenectomy , necessary to be able to obtain an adequate surgical staging .
Minimal invasion surgery is not a recommended procedure for the treatment of advanced ovarian cancer .
Radiotherapy can be used to palliate symptoms .
In the present , there is not a st and ardized screening method .
Diagnosis in early stages means a better survival .
Radiotherapy can be indicated to palliate symptoms
INTRODUCTION Ovarian cancer ( OC ) is the third most common gynecologic malignancy worldwide .
Most of cases it is of epithelial origin .
At the present time there is not a st and ardized screening method , which makes difficult the early diagnosis .
The 5-year survival is 90 % for early stages , however most cases present at advanced stages , which have a 5-year survival of only 5 - 20 % .
GICOM collaborative group , under the auspice of different institutions , have made the following consensus in order to make recommendations for the diagnosis and management regarding to this neoplasia .
Until now , laparoscopy for diagnostic-staging surgery is not well known as a recommended method .
In advanced stages , primary cytoreduction is recommended as initial treatment .
Pure Ovarian Immature Teratoma, a Unique and Curable Disease: 10 Years' Experience of 32 Prospectively Treated Patients
Objective : To report and evaluate a conservative and individualized treatment policy in a homogeneously selected series of patients affected by pure ovarian immature teratoma . Methods : This prospect i ve trial , with specific treatment policies according to stage and grade , was planned and started in 1982 . The study population consisted of 32 patients affected by pure immature teratoma , with the exclusion of mixed germ cell tumors .  Fertility-sparing surgery was performed whenever possible . Surgery alone , with careful follow-up , was adopted for stage I or II according to the International Federation of Gynecology and Obstetrics ( FIGO ) and grade 1 or 2 tumors . The other patients , with stage III or with grade 3 stage I or II tumors , or those referred at relapse , were treated with platinum-based chemotherapy regimens . Results : Thirty of 32 patients underwent fertility-sparing surgery . Ten of 32 patients received chemotherapy after surgery , either as adjuvant treatment or in the presence of visible tumor . All 32 patients are alive and disease-free , with a median follow-up from surgery of 47 months ( range 11–138 ) . In six patients , regardless of the administration of chemotherapy , the tumor either spontaneously differentiated toward mature glia or increased in volume , mimicking progression but still remaining completely mature . Five of six patients wishing to procreate had a total of seven normal pregnancies . Conclusions : Pure ovarian immature teratoma is a potentially curable disease with a unique natural history . Our data substantiate the hypothesis that low- grade and low-stage tumors do not require chemotherapy , and that a fertility-sparing surgical approach is warranted in all cases
In regards to surgery it is recommended to perform total omentectomy since subclinic metastasis have been documented in 10 - 30 % of all cases , and systematic limphadenectomy , necessary to be able to obtain an adequate surgical staging .
Minimal invasion surgery is not a recommended procedure for the treatment of advanced ovarian cancer .
Radiotherapy can be used to palliate symptoms .
In the present , there is not a st and ardized screening method .
Diagnosis in early stages means a better survival .
Radiotherapy can be indicated to palliate symptoms
INTRODUCTION Ovarian cancer ( OC ) is the third most common gynecologic malignancy worldwide .
Most of cases it is of epithelial origin .
At the present time there is not a st and ardized screening method , which makes difficult the early diagnosis .
The 5-year survival is 90 % for early stages , however most cases present at advanced stages , which have a 5-year survival of only 5 - 20 % .
GICOM collaborative group , under the auspice of different institutions , have made the following consensus in order to make recommendations for the diagnosis and management regarding to this neoplasia .
Until now , laparoscopy for diagnostic-staging surgery is not well known as a recommended method .
In advanced stages , primary cytoreduction is recommended as initial treatment .