[Therapy of ovarian stage-Ia carcinoma (review of 103 cases)]

103 cases of carcinoma of the ovary stage IA are presented, which have been operated upon at our clinic from 1944 to 1970. The 5 year cure rate of the 94 cases which had been treated until 1967 was 67%. 10 of the eleven patients who had been operated upon by preserving the opposite ovary -- in 4 cases additional radiotherapy was given -- were free of carcinoma after 5 years. When radical operation was performed (bilateral salpingo-oophorectomy with or without removal of the uterus) the 5 year cure rate was 55%, with additional postoperative radiation 70%. This difference is not statistically significant. -- The therapy of choice of cancer of the ovary stage IA should be bilateral salpingo-oophorectomy and total hysterectomy with additional radiotherapy. -- Instead it may be justified in some cases to preserve the opposite ovary.