Abstract
Ovarian germ cell tumours are uncommon tumours with clinical presentations that vary from benign to frankly malignant, requiring adjuvant chemotherapy for disease control. Due to their rarity, the optimal chemotherapy for these tumours is not fully known. Fortunately, more patients with ovarian germ cell tumours are achieving medium to long-term survival, and younger patients are increasingly able to preserve their fertility potential.
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Glossary of Terms
- Adjuvant treatment
-
A treatment modality that is used following intended primary treatment. Chemotherapy is the adjuvant treatment of choice following (primary) surgery for malignant germ cell tumours.
- Neoadjuvant treatment
-
A treatment modality that is used prior to the intended primary treatment. Chemotherapy has been used as neoadjuvant treatment for malignant germ cell tumours; as part of non-standard management.
- Optimal cytoreduction
-
Often used in the context of surgery for intra-peritoneal peritoneal cancer dissemination. In ovarian cancer, the GOG has re-defined optimal surgical cytoreduction as residual disease comprising lesions no more than 1 cm in greatest diameter, at the end of surgical resection in the peritoneal cavity. In practice, surgical resection to no gross visible lesions (microscopic disease) is the goal for optimal cytoreductive surgery.
- Primary treatment
-
The intended definitive treatment modality. As described in this chapter, surgery is the primary treatment for germ cell tumours.
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Ibeanu, O.A. (2021). Germ Cell Tumours of the Ovary. In: Okonofua, F., Balogun, J.A., Odunsi, K., Chilaka, V.N. (eds) Contemporary Obstetrics and Gynecology for Developing Countries . Springer, Cham. https://doi.org/10.1007/978-3-030-75385-6_59
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