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Letter to the Editor| Volume 130, P265-266, May 2020

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Re: A multicentre retrospective cohort study of ovarian germ cell tumours: Evidence for chemotherapy de-escalation and alignment of paediatric and adult practice

Published:March 13, 2020DOI:https://doi.org/10.1016/j.ejca.2020.01.022
      The article by Newton et al [
      • Newton C.
      • Murali K.
      • Ahmad A.
      • Hockings H.
      • Graham R.
      • Liberale V.
      • et al.
      A multicentre retrospective cohort study of ovarian germ cell tumours: evidence for chemotherapy de-escalation and alignment of paediatric and adult practice.
      ], advances the conversation on the role of chemotherapy in ovarian immature teratoma (IT) and is very well written. The authors reviewed 42 patients with ovarian IT, 33 of whom had surgery alone and 9 patients had surgery and chemotherapy. They found that recurrence risk was not reduced by first-line chemotherapy. This is similar to our experience [
      • Pashankar F.
      • Hale J.P.
      • Dang H.
      • Krailo M.
      • Brady W.E.
      • Rodriguez-Galindo C.
      • et al.
      Is adjuvant chemotherapy indicated in ovarian immature teratomas? A combined data analysis from the Malignant Germ Cell Tumor International Collaborative.
      ] and the experience of others [
      • Mangili G.
      • Scarfone G.
      • Gadducci A.
      • Sigismondi C.
      • Ferrandina G.
      • Scibilia G.
      • et al.
      Is adjuvant chemotherapy indicated in stage I pure immature ovarian teratoma (IT)? A multicentre Italian trial in ovarian cancer (MITO-9).
      ].
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      References

        • Newton C.
        • Murali K.
        • Ahmad A.
        • Hockings H.
        • Graham R.
        • Liberale V.
        • et al.
        A multicentre retrospective cohort study of ovarian germ cell tumours: evidence for chemotherapy de-escalation and alignment of paediatric and adult practice.
        Eur J Canc. 2019 May; 113: 19-27https://doi.org/10.1016/j.ejca.2019.03.001
        • Pashankar F.
        • Hale J.P.
        • Dang H.
        • Krailo M.
        • Brady W.E.
        • Rodriguez-Galindo C.
        • et al.
        Is adjuvant chemotherapy indicated in ovarian immature teratomas? A combined data analysis from the Malignant Germ Cell Tumor International Collaborative.
        Cancer. 2016 Jan 15; 122: 230-237
        • Mangili G.
        • Scarfone G.
        • Gadducci A.
        • Sigismondi C.
        • Ferrandina G.
        • Scibilia G.
        • et al.
        Is adjuvant chemotherapy indicated in stage I pure immature ovarian teratoma (IT)? A multicentre Italian trial in ovarian cancer (MITO-9).
        Gynecol Oncol. 2010; 119: 48-52
        • Cushing B.
        • Giller R.
        • Ablin A.
        • Cohen L.
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        • Hawkins E.
        • et al.
        Surgical resection alone is effective treatment for ovarian immature teratoma in children and adolescents: a report of the pediatric oncology group and the children's cancer group.
        Am J Obstet Gynecol. 1999; 181: 353-358

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