[Conservative surgery in ovarian cancer]

Surgery for ovarian cancer is always radical. In young patients with wish of pregnancy and in early stages, the conservative surgery can be contemplated. This type of surgery involves removing the tumoral ovary, leaving the healthy ovary and uterus. In these cases, the age, stage, histologic type, grade and biological factors must be considered. There is controversy about the surgical approach: laparoscopy or laparotomy, the indication to perform biopsy of the contralateral ovary and pelvic-paraaortic lymphadenectomy. In high-risk cases adjuvant chemotherapy must be considered. We present our experience in 330 common epithelial and germinal ovarian carcinomas. We performed conservative surgery in 13. Four patients got pregnant and 3 of them delivered a term newborn. In 13 of 52 borderline tumors a conservative surgery was performed and 3 term deliveries were obtained. All patients are alive and free of disease.