Background. In invasive ovarian cancer, fertility saving surgery is confined to early- stage and low- grade disease, and only few study reported sparing fertility up to FIGO stage IC ovarian cancer. Case. We present a rare case of a 30- year- old woman affected by IC ovarian cancer with borderline tumor on controlateral ovary who underwent “ conservative” debulking surgery followed by adjuvant chemotherapy. A spontaneous planned pregnancy occurred 5 years postsurgery. At 60- month follow- up, patients have no evidence of disease. Conclusions. Nowadays, preservation of ovarian function in women with tumors in early stage should be evaluated for conservative surgery. It is important to emphasize that patients selected for conservative surgery should have complete surgical staging. Careful follow- up is mandatory to ensure safety of this procedure.
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