Table 1.

Summary of fertility sparing treatment in accordance to the type and stage of the tumor

Type and stage of tumor	Fertility sparing option	Fertility sparing surgery	Non-fertility sparing surgery
Dysgerminoma		Unilateral salpingo-oophorectomy, peritoneal washing, omental biopsy and selective removal of enlarged lymph nodes	If no fertility desired also bilateral salpingo-ooporectomy and hysterectomy could be considered
Dysgerminoma stage IA-IV	Yes
Yolk-sac tumor		Unilateral salpingo-oophorectomy, peritoneal washing, omental biopsy and selective removal of enlarged lymph nodes	If no fertility desired also bilateral salpingo-ooporectomy and hysterectomy could be considered
Yolk-sac tumor stage IA - IV	Yes
Immature teratoma		Unilateral salpingo-oophorectomy, peritoneal washing, omental biopsy and selective removal of enlarged lymph nodes	If no fertility desired also bilateral salpingo-ooporectomy and hysterectomy could be considered
Immature teratoma stage IA - IV	Yes
Granulosa cell tumor
Granulosa cell tumor stage stage IA	Yes	Unilateral salpingo-oophorectomy, peritoneal washing, infra colic omentectomy and peritoneal biopsies. Endometrial biopsies also required
Granulosa cell tumor stage stage IB-IV	No		Total abdominal hysterectomy and bilateral salpingo-oophorectomy and full staging/debulking surgery
Sertoli-Leydig Tumors
Sertoli-Leydig Tumor stage IA without retiform or poor differentiation or sarcomatoid histological type	Yes	Unilateral salpingo-oophorectomy, peritoneal washing, infra colic omentectomy and peritoneal biopsies. Endometrial biopsies also required
Sertoli-Leydig Tumor all other stages and histological types	No		Total abdominal hysterectomy and bilateral salpingo-oophorectomy and full staging/debulking surgery
Sex cord tumor with annular tubules	Yes	Unilateral salpingo-oophorectomy, peritoneal washing, infra colic omentectomy and peritoneal biopsies. Endometrial biopsies also required