Abstract

Fertility-sparing surgery in early-stage epithelial ovarian cancer is a feasible option for patients of childbearing age wishing for a future pregnancy. The therapeutic option needs to be managed by an expert Gynecologic Oncologist within a multispeciality oncologic team. This chapter reviews the clinical condition which may influence the final decision, in particular: stage of disease, grade of differentiation, and histologic subtype. Oncological outcomes and fertility outcomes are reported on the basis of the currently available literature.