Publication: Recent management of malignant ovarian germ cell tumors: A study of 34 cases
Issued Date
1999-01-01
Resource Type
ISSN
13418076
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2-s2.0-0032758128
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of Obstetrics and Gynaecology Research. Vol.25, No.5 (1999), 315-320
Suggested Citation
Vasant Linasmita, Somkeart Srisupundit, Sarikapan Wilailak, Somsak Tangtrakul, Nathapong Israngura, Sunchai Bullangpoti Recent management of malignant ovarian germ cell tumors: A study of 34 cases. Journal of Obstetrics and Gynaecology Research. Vol.25, No.5 (1999), 315-320. doi:10.1111/j.1447-0756.1999.tb01169.x Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/25729
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Title
Recent management of malignant ovarian germ cell tumors: A study of 34 cases
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Abstract
Objective: To review the outcome of the treatment in patients with malignant ovarian Germ cell tumors with respect to survival and surgical management at a single institution during 1990-1996. Methods: Thirty-four patients with malignant ovarian Germ cell tumors were studied retrospectively for their surgical management. Fourteen patients had pure dysgerminoma, 11 endodermal sinus tumor, 6 immature teratoma, and 3 mixed Germ cell tumors. Nine patients had stage IA, 8 stage IC, 2 stage IIC, 8 stage III, 3 stage IV, and 4 referred patients with recurrent diseases. Results: Nineteen patients underwent primary conservative surgery, 11 had primary nonconservative surgery. Twenty-two patients were treated with chemotherapy (BEP or EP or PVB regimen). Five patients with pure dysgerminoma received adjuvant radiotherapy. Persistent remission was achieved in 26 patients. Two patients (7.4%) had recurrence after remission. Seven patients had died of the diseases. Patients with complete clinical remission did not undergo second-look surgery. The overall survival was 78.8%, 100% for immature teratoma, 84.6% for pure dysgerminoma, 72.8% for endodermal sinus tumor, and 33.3% for mixed Germ cell tumors, with median follow-up time 31 (3-93) months. Conclusion: Patients with limited diseases regardless of histologic types can be safely managed by unilateral salpingo-oophorectomy followed by, if indicated, 3-4 courses of cisplatin-based chemotherapy. For advanced diseases, conservative surgery is advisable in patients with endodermal sinus tumor.