Fertility-Sparing Strategy in Ovarian Tumors

Conservative treatment gives good results on fertility and does not affect the survival of patients with borderline ovarian tumor. It must be considered for young women willing to conceive even if peritoneal implants are discovered at the time of initial surgery. In case of infertility, medically assisted procreation techniques may be proposed to patients with stage I BOT with a limited number of stimulation cycles. In patients with epithelial ovarian cancer, conservative surgery of an ovary and the uterus can only be considered in adequately stratified patients, with serous, mucinous, or endometrioid tumor and a careful follow-up and with a stage IA, IC, grade 1 (and probably 2) disease. In patients with non-epithelial ovarian cancer, conservative surgery has a large place, particularly in patients with malignant germ cell tumors.