[Malignant neoplasms of the ovaries. The diagnostic and therapeutic results]

The study included 291 women, who suffered from malignant ovarian tumours, hospitalized and treated in the gynecological clinic of the Higher Medical Institute in the town of Pleven during two period: of 1984-1988-168 patients and of 1980-1983-123 patients. A total 5-year survival was estimated for those women. The mean age of women was 55.08 +/- 15.79 years with a mean number of deliveries 1.82 +/- 0.78 and a number of abortions 2.03 +/- 0.75. The great relative part of epithelial tumours--91.66% was noted in the general structure similar to other distributions. The age groups of 40-49, 50-59 and 60-69 were mostly represented. An interesting case of a woman with an ovarian carcinoma at late stages with more than an 8-year survival was described. The total 5-year survival, estimated by the authors, for the period of 1980-1983, was 26.19%. The principles of combined treatment are discussed in accordance with the clinical stage, operative and histological results. The significance of some risk and prognostic factors are evaluated.