Long-term consequences following conservative management of epithelial ovarian cancer in an infertile patient

A 35-year-old woman with primary infertility underwent an ovarian cystectom y for a 5 x 4 cm left: adnexal mass. There was no macroscopic evidence of m etastatic disease. The final pathology report revealed a poorly differentia ted serous cystadenocarcinoma. Because the patient desired to retain child- bearing capacity, she refused a surgical staging of her ovarian cancer. She elected to receive combination chemotherapy. This was then followed by a n egative reassessment laparotomy. The patient was diagnosed with recurrent, metastatic ovarian carcinoma 10 years later. (C) 1999 Academic Press.