Management of the patients with stage I germ cell ovarian tumors

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The goal of the treatment of children and adolescents with germ cell ovarian tumors is to save both life and its quality. One of the quality of life issue in pediatric patients is fertility preservation. The removal of the ovary on the affected side allows saving the ovary on the opposite side. The single ovary is able to save further full development of female secondary sexual characteristics and will play important role as psychological value. In addition, the reproductive function will be stored. Chemotherapy may badly impact the function of a single ovary. To find out in advance how chemotherapy will affect ovarian function is impossible, so it is necessary for patients with Stage I ovarian germ cell tumors to decide the possibility of dismissing chemotherapy from the treatment. Under certain conditions unilateral salpingo-oophorectomy may be sufficient for stage I disease. Risk factors which should be considered when refusing chemotherapy are discussed.

作者简介

Innesa Nechushkina

N.N. Blokhin National Medical Research Center of Oncology of the Ministry of Health of the Russian Federation; Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation

Email: ivnechushkina@mail.ru
D. Sci. (Med.), Full Prof. Moscow, Russia

Valentina Nechushkina

N.N. Blokhin National Medical Research Center of Oncology of the Ministry of Health of the Russian Federation

Email: drnechushkina@mail.ru
D. Sci. (Med.) Moscow, Russia

Elena Boychenko

N.N. Blokhin National Medical Research Center of Oncology of the Ministry of Health of the Russian Federation; Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation; Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Email: e.i.boychenko@yandex.ru
Cand. Sci. (Med.) Moscow, Russia

Natalia Susuleva

N.N. Blokhin National Medical Research Center of Oncology of the Ministry of Health of the Russian Federation; Russian Medical Academy of Continuous Professional Education of the Ministry of Health of the Russian Federation

Email: susuleva@mail.ru
D. Sci. (Med.) Moscow, Russia

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