Fertility-sparing Surgery in Malignant Epithelial Ovarian Tumor: A Case Report

Background: Epithelial ovarian cancer is the most common and lethal ovarian cancer. Fertility preservation is an important issue now a days because of the constant shifting of childbearing age towards higher ages. The increasing incidence of epithelial ovarian cancer in women with active childbearing potential constitutes a therapeutic dilemma. Fertility sparing techniques are being increasingly incorporated in the therapeutic strategies in early stage of disease. Established organ-preserving techniques in early-stage epithelial ovarian cancer includes preservation of the contralateral ovary and uterus.  
Aim: Report the case of a patient with a malignant epithelial ovarian tumor, who had conservative surgery and chemotherapy with a good fertility outcome.  
Case presentation: A 31-year-old nulliparous woman with a right sided malignant ovarian mucinous cystadenocarcinoma was treated by right adnexectomy and omentectomy followed by chemotherapy. A 3 years follow-up showed no signs of relapse, and she completed a full-term natural pregnancy which was delivered by caesarian section.  
Conclusions: Fertility sparing surgery in early-stage malignant epithelial ovarian tumor has good prognosis. However, due to the rarity of the disease in early stages, the fertility outcome for this group of patients is not established.