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. 2013 Sep;73(9):874–889. doi: 10.1055/s-0033-1350713
No. Recommendations/Statements GR LoE Sources
* Chemotherapy must always include platinum and etoposide. The 3rd cytostatic drug can be either bleomycin or ifosfamide.
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