BACKGROUND Ovarian yolk sac tumor (YST) is a very rare malignancy arising in young women. Chemotherapy has dramatically improved the prognosis. Current treatment consists of surgery followed by bleomycin, etoposide, and cisplatin (BEP) chemotherapy. However, given the rarity of this tumor, ovarian YST-specific survival and outcome after such treatment are not precisely known. PATIENTS AND MET...

With 21,650 new cases every year, ovarian cancer is currently the fifth leading cause of death from all cancers in women in the USA [1]. Among gynecological cancers, it is the leading cause of death, typically presenting with stage III/IV disease. At present, 12.2% of ovarian cancers occur in women younger than 40 years of age [2]. Most of these cases are tumors of low malignant potential, mali...

Surgery plays a critical role in the optimal management of all stages of ovarian carcinoma. In apparent early-stage ovarian cancer, a comprehensive surgical evaluation allows stratification of patients into low- and high-risk categories. Low-risk patients may be candidates for fertility-sparing surgery and can safely avoid chemotherapy and be observed. Treatment of patients with high-risk early...

An adenomyomectomy is a conservative-surgical option for preserving fertility. Conventional laparoscopic adenomyomectomies present difficulties in adenomyoma removal and suturing of the remaining myometrium. Robot-assisted laparoscopic surgery could overcome the limitations of conventional laparoscopic surgery. Four patients with severe secondary dysmenorrhea and pelvic pain visited Seoul St. M...

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PURPOSE To evaluate the oncological safety and pregnant outcomes of fertility-sparing uterine lesion resection in treating gestational trophoblastic neoplasias. RESULTS After the treatment of surgery and chemotherapy, all the patients achieved complete remission. With a median follow-up time of 44 months (range, 6-188), 3 patients (3.85%) relapsed within 3-26 months. Multivariate analysis sho...

Ultrasound is a readily available, safe and portable imaging modality that widely applied in gynecology. However, there limited guidance for its use intra-operatively especially with complex gynecological procedures. This narrative review examines the existing literature published on of intraoperative ultrasound (IOUS) benign gynecology oncology. We searched following terms: ‘intraoperative,’ ‘...