13.1. |
The diagnosis of ovarian germ cell tumours must done in a similar
manner as the diagnosis for ovarian cancer. |
CC |
13.2. |
The goal of surgical treatment is, in addition to histological
typification, complete resection of the tumour and adequate
staging while preserving fertility if the remaining genital area
is unremarkable.The benefit of systematic
lymphonodectomy when lymph nodes are unremarkable has not been
proven. |
ST |
2+ |
Primary studies: 53, 203, 204, 205, 206, 207, 208, 209, 210, 211, 212
|
13.3. |
No adjuvant chemotherapy is required for stage IA tumours. |
A |
2+ |
Primary studies: 213
|
13.4. |
For cancers > FIGO IA, platinum-based risk-adapted
chemotherapy must be carried out, consisting of 2–4 cycles of 2
or 3 cytostatic drugs*. |
A |
2+ |
Primary studies: 213, 214
|
13.5. |
In patients with advanced stage tumours, primary chemotherapy can
be administered to preserve fertility. Resection of the residual
tumour and of residual metastases must be planned after 3 or 4
cycles of chemotherapy have been concluded. |
CC |
13.6. |
In addition to standard follow-up examinations, follow-up must
also include the determination of specific tumour markers. |
CC |