Treatment of ovarian germ cell and gonadal tumors in the gynecology and obstetrics department
Affiliation and adress for correspondence

1 Oddział Ginekologiczno-Położniczy, Radomski Szpital Specjalistyczny im. dr. Tytusa Chałubińskiego.
Ordynator Oddziału: lek. med. Zenon Michalak
2 Oddział Chirurgii Ogólnej, Radomski Szpital Specjalistyczny im. dr. Tytusa Chałubińskiego.
Ordynator Oddziału: dr n. med. Robert Rojewski
Correspondence to: Dr n. med. Dobrosława L. Sikora-Szczęśniak, ul. S. Perzanowskiej 37 L, 26-600 Radom, tel.: 602 539 543,
e-mail: dosiass@wp.pl
Source of financing: Department own sources

CURR. GYNECOL. ONCOL. 2013, 11 (4), p. 264–273
DOI: 10.15557/CGO.2013.0024
ABSTRACT

Introduction: Germ cell tumors are the second (after epithelial cancers) most common ovarian cancers. They account for 25–30% of all tumors and 5–9% of malignant ovarian cancers. Gonadal tumors are the third most common ovarian cancers and account for 5–8% of all ovarian tumors and 7% of malignant ovarian cancers. Aim: The paper presents the results of surgical treatment of germ cell and gonadal tumors performed between 1985 and 2001 in the Department of Gynecology and Obstetrics of the District Hospital in Lipsko. Material and methods: Study material comprised cases of patients undergoing surgeries due to ovarian germ cell and gonadal tumors. Supplementary interviews on the postoperative period were conducted with patients or their family members dozen to several dozen years after procedures. Individual histological types of tumors as well as the proportion of their incidence in the analyzed groups were presented. Results: A total of 38 germ cell tumor cases were reported. Benign tumors (teratoma adultum) were found in 35 (92.1%) patients, and malignant tumors were found in 3 (7.9%) cases. Granulosa cell tumor, theca cell tumor and fibroma, i.e. 6 (60%), 3 (30%) and 1 (10%) case, respectively, were identified among the 10 gonadal tumors. Conclusions: In the case of germ cell malignant tumor, fertility-sparing surgical treatment in women of childbearing age allows to preserve the fertility of a patient. Radical surgery combined with adjuvant therapy allowed for a full recovery even in the cases of advanced malignant ovarian tumor. Metachronous occurrence of mature teratoma and granulosa cell tumor was observed in one (2.0%) out of 48 patients. In the case of dermoid cysts, struma ovarii was left-sided.

Keywords: ovarian germ cell and gonadal tumors, coexistence of germ cell and gonadal tumors, struma ovarii, surgical treatment