[Results and fertility after conservative treatment of XXXX ].

@entity1 @entity43 @entity5
OBJECTIVE: The aim of this study is to assess the clinical outcome and fertility in @entity1 managed conservatively for @entity43 ( @entity43 ). @entity1 : Datas of 42 @entity1 treated conservatively for @entity43 were reviewed. Thirty-seven followed-up @entity1 with complete data were analyzed. Optimal surgical staging was performed in two cases during the initial surgery and in 33 @entity1 during a reassessment surgery. Six @entity1 underwent a hysterectomy during this restaging surgery. RESULTS: Among 31 @entity1 treated conservatively following the restaging surgery, the FIGO staging distribution was: 24 stage IA (grade 1 n = 10; grade 2 n = 12; grade 3 n = 2); two stages IC; two stage II and two @entity1 with initial stage unknown. Ten @entity1 recurred (eight on the remaining ovary). The disease free survival at five years for @entity1 with stage IA grade 1 and two @entity5 were respectively 89 and 66%. All @entity1 with stage > IA recurred. Only five pregnancies (four spontaneous and one following IVF procedure) were obtained. CONCLUSION: Conservative surgery for @entity1 with @entity43 could be considered in young @entity1 with stage IA grade 1 disease adequately staged and desiring to preserve fertility potential but should not performed in @entity1 with FIGO stage > IA.
