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Pure dysgerminoma of the ovary in childhood: Treatment results and sequelae

✍ Scribed by Teinturier, C. ;Gelez, J. ;Flamant, F. ;Habrand, J. L. ;Lemerle, J.


Publisher
John Wiley and Sons
Year
1994
Tongue
English
Weight
567 KB
Volume
23
Category
Article
ISSN
0098-1532

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✦ Synopsis


Abstract

Thirty‐five children with pure dysgerminoma of the ovary were all treated at the Institut Gustave Roussy (IGR) from 1956–1985. The median follow‐up is 8.5 years. The crude 5‐year survival rate is 94.1% (±4.1). The disease‐free 5‐year survival rate is 81.8% (±6.7). Fourteen patients who had stage I disease were treated by unilateral salpingooophorectomy and prophylactic radiotherapy (20 Gy) to ipsilateral iliac, lumbar‐aortic, and subclavicular lymph nodes. All are alive without sequelae. Eighteen patients with stage II and III disease were treated by surgery and radiotherapy (30–40 Gy) to the tumor volume. All are alive but radio‐induced sequelae are severe. Five relapses of stage I, II, and III tumors occurred and were cured by a second line treatment. Two of the three patients with stage IV disease died.

Four patients received a cisplatinum‐containing regimen for disseminated disease or because of a relapse before radiotherapy. Three achieved a complete response of measurable tumor. Given the high efficacy of this kind of chemotherapy and the severe sequelae induced by abdomino‐pelvic irradiation, we propose initial chemotherapy for widespread disease andd radiotherapy in the event of residual tumor. © 1994 Wiley‐Liss, Inc.


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