“…[18][19][20][21][22] In contrast, GTS after ovarian immature teratoma can either have a retroperitoneal nodal spread or present with diffuse peritoneal disease, similar to other ovarian malignancies. [23][24][25][26][27][28][29] The proposed surgery usually is a so-called ''debulking'' surgery, a term conventionally used for the removal of the intraabdominal tumor in ovarian cancer, However, the literature has little data regarding the extent of surgery required, particularly the place of fertilitysparing surgery or the clinical outcome after debulking for intraabdominal GTS. Because GTS is significantly less frequent in women than in men, published series are short, and none have focused specifically on the question of surgical management and postsurgical outcomes.…”