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As a resident, I had the opportunity to take care of a young woman with an ovarian germ cell tumor. She initially presented to an outside facility with an ovarian cyst believed to be benign. Following a cystectomy at this facility where the frozen pathologic specimen was determined benign, the final pathology unexpectedly returned as malignant. She then presented to the University of Chicago oncology service for a second opinion. She underwent conservative surgery with unilateral salpingo-oophorectomy and lymph node sampling, and the contralateral ovary and uterus were grossly normal and preserved. This fertility-preserving surgery is standard of care for women with germ cell tumors confined to one ovary that have not completed childbearing. She was to return to the inpatient chemotherapy service for her BEP (bleomycin, etoposide, and cisplatin) regimen following recovery from the surgery.

Warning: Google Can Be Hazardous to Your Health: Fertility Preservation Is an Important Part of Cancer Care