PT - JOURNAL ARTICLE AU - Gina M. Mantia Smaldone AU - Scott D. Richard AU - Robert P. Edwards TI - Pregnancy Outcomes After Conservative Surgical Management of Ovarian Neoplasms Treated at a Single Institution AID - 10.1111/IGC.0b013e3181e5c45a DP - 2010 Jul 01 TA - International Journal of Gynecologic Cancer PG - 926--931 VI - 20 IP - 6 4099 - http://ijgc.bmj.com/content/20/6/926.short 4100 - http://ijgc.bmj.com/content/20/6/926.full SO - Int J Gynecol Cancer2010 Jul 01; 20 AB - Hypothesis: Conservative surgical management of ovarian neoplasms can result in favorable oncologic and obstetric outcomes.Methods: All reproductive-age women (18-45 years old) with stage IA to stage IIC ovarian neoplasms (N = 161) were retrospectively identified from a single institution's tumor registry between 1990 and 2007. Operative, pathological, outpatient, and delivery records were reviewed to confirm histological findings, stage, extent of surgical resection, adjuvant treatment, oncologic outcomes, and pregnancy outcomes.Results: Women who underwent conservative surgical management for ovarian neoplasms (n = 61 [37.9%]) were identified, including those with low malignant potential (LMP, n = 36), epithelial (n = 12), germ cell (n = 6), and sex cord (n = 7) tumors. Thirteen women conceived 23 pregnancies, producing a pregnancy rate of 25.0% overall and of 68.4% for those attempting conception. Women with LMP tumors conceived most pregnancies and had the highest number of antenatal complications. Of those receiving adjuvant chemotherapy (n = 8), 12.5% were able to conceive after their treatment and with no reported congenital anomalies. Pregnancy after a diagnosis of ovarian neoplasm did not impact disease recurrence (0% vs 7.7%, P = 0.56) or survival (100% vs 100%, P = 1.0).Conclusions: Conservative surgery may be an acceptable option for reproductive-age women with early-stage ovarian neoplasms. We report pregnancy and oncologic outcomes for a cohort of women managed conservatively for LMP, epithelial, germ cell, and sex cord ovarian neoplasms.