{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T15:07:19Z","timestamp":1785424039326,"version":"3.56.0"},"reference-count":34,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T00:00:00Z","timestamp":1775520000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"German Ovarian Cancer Foundation"},{"name":"AstraZeneca GmbH"},{"name":"Janssen-Cilag GmbH"},{"name":"PfizerPharma GmbH"},{"name":"Roche"},{"id":[{"id":"https:\/\/ror.org\/006hrz834","id-type":"ROR","asserted-by":"publisher"}]},{"name":"Tesaro"},{"id":[{"id":"https:\/\/ror.org\/02r3fkw61","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>Background\/Objectives: Ovarian cancer is typically diagnosed in postmenopausal women, so there are limited data available for young adult cancer survivors (YACS). The aim was to assess the patient perspective of YACS. Methods: In this international and multicenter cross-sectional survey study, patient history, long-term side effects, and patient perspective were assessed. Long-term survival was defined as survival of at least five years after cancer diagnosis. Two groups were defined: (1) 18\u201340 years and (2) \u226541 years. Results: Altogether, 1833 long-term survivors (LTS) have been recruited, with 1771 patients \u226541 years and 62 patients 18\u201340 years at recruitment. FIGO stages were similar; among the patients, 99.0% had received primary surgery followed by chemotherapy in 90.3%. Almost 50% still experienced long-term side effects. Patients \u2264 40 years reported more frequently not only gastrointestinal symptoms such as nausea\/vomiting (44.4%, p = 0.01), bloating (59.3%, p = 0.038), and constipation (60%, p = 0.015) but also depression (31.4%, p = 0.02), lymphedema (45.3%, p = 0.026), and concentration difficulties (30.6%, p = 0.002). Distress levels were also higher in YACS, especially concerning insurance\/finances, work\/school, child care, worries, and sadness. Polyneuropathy and secondary cancer were the only side effects that were more frequent in the elder cohort (polyneuropathy: 20.3% vs. 4.3%, p = 0.002, and secondary cancer: 8.4% vs. 0%, p = 0.014). YACS were more physically active (p = 0.003) and interested in studies about long-term cancer survivorship in 87.2%. Conclusions: Long-term side effects are equally common in YACS after ovarian cancer, but with a focus on practical problems, mental health, gastrointestinal problems, and sexuality. This knowledge should be incorporated into follow-up care of ovarian cancer patients in order to improve quality of life.<\/jats:p>","DOI":"10.3390\/cancers18071183","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T07:25:12Z","timestamp":1775633112000},"page":"1183","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long-Term Young Adult Cancer Survivors with Ovarian Cancer: Subgroup Analysis of the Study \u201cExpression VI\u2013Carolin Meets HANNA\u2013Holistic Analysis of Long-Term Survival with Ovarian Cancer\u201d: The International NOGGO, ENGOT, and GCIG Survey"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4228-5158","authenticated-orcid":false,"given":"Desislava","family":"Dimitrova","sequence":"first","affiliation":[{"name":"Department of Gynecology with Center for Oncological Surgery, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, 13353 Berlin, Germany"},{"name":"North-Eastern German Society for Gynecological Oncology (NOGGO), 13359 Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eleftherios Pierre","family":"Samartzis","sequence":"additional","affiliation":[{"name":"Department of Gynecology, University Hospital of Z\u00fcrich, 8091 Z\u00fcrich, Switzerland"},{"name":"Swiss GO Trial Group (Swiss GO), 4031 Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dario","family":"Zocholl","sequence":"additional","affiliation":[{"name":"Institute for Medical Biometry, Informatics and Epidemiology, University Hospital Bonn, University of Bonn, 53127 Bonn, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0074-6614","authenticated-orcid":false,"given":"Maria-Pilar","family":"Barretina-Ginesta","sequence":"additional","affiliation":[{"name":"Medical Oncology Department, Institut Catal\u00e0 d\u2019Oncologia, 17007 Girona, Spain"},{"name":"Grupo Espa\u00f1ol de Investigaci\u00f3n en C\u00e1ncer de Ovario (GEICO), 28003 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9572-9114","authenticated-orcid":false,"given":"Katharina","family":"Leitner","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Medical University of Innsbruck, 6020 Innsbruck, Austria"},{"name":"Arbeitsgemeinschaft Gynaekologische Onkologie Austria (AGO Austria), 6020 Innsbruck, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-1857-549X","authenticated-orcid":false,"given":"Pavel","family":"Havelka","sequence":"additional","affiliation":[{"name":"Tomas Bata Hospital Zlin, 760 01 Zl\u00edn, Czech Republic"},{"name":"Central and Eastern European Gynecologic Oncology Group (CEEGOG), 120 00 Prague, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9928-5883","authenticated-orcid":false,"given":"Patriciu","family":"Achimas-Cadariu","sequence":"additional","affiliation":[{"name":"Surgical Oncology and Gynecologic Oncology, \u201cIuliu Ha\u021bieganu\u201d University of Medicine and Pharmacy\u2014Cluj-Napoca, 400012 Cluj-Napoca, Romania"},{"name":"Surgical Oncology, The Oncology Institute Prof. Dr. I. Chiricuta Cluj-Napoca, 400015 Cluj-Napoca, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cagatay","family":"Taskiran","sequence":"additional","affiliation":[{"name":"VKV American Hospital, 34365 Sisli, Turkey"},{"name":"Turkish Society of Gynecologic Oncology (TRSGO), 06450 Ankara, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0833-0544","authenticated-orcid":false,"given":"Suzana","family":"Mittelstadt","sequence":"additional","affiliation":[{"name":"North-Eastern German Society for Gynecological Oncology (NOGGO), 13359 Berlin, Germany"},{"name":"Department of Women\u2019s Health, University Hospital T\u00fcbingen, 72076 T\u00fcbingen, Germany"},{"name":"DIAK Klinikum Landkreis Schw\u00e4bisch Hall, 74523 Schw\u00e4bisch Hall, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5432-1828","authenticated-orcid":false,"given":"Els","family":"Van Nieuwenhuysen","sequence":"additional","affiliation":[{"name":"University Hospitals Leuven, 3000 Leuven, Belgium"},{"name":"Belgium and Luxembourg Gynaecological Oncology Group (BGOG), 3000 Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerd","family":"Bauerschmitz","sequence":"additional","affiliation":[{"name":"North-Eastern German Society for Gynecological Oncology (NOGGO), 13359 Berlin, Germany"},{"name":"Department of Gynecology and Obstetrics, Universit\u00e4tsklinikum G\u00f6ttingen, 37075 G\u00f6ttingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viola","family":"Heinzelmann-Schwarz","sequence":"additional","affiliation":[{"name":"Swiss GO Trial Group (Swiss GO), 4031 Basel, Switzerland"},{"name":"Gynecological Cancer Centre, University Hospital Basel, 4031 Basel, Switzerland"},{"name":"Ovarian Cancer Research, Department of Biomedicine, University of Basel, 4031 Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7166-9762","authenticated-orcid":false,"given":"Ainhoa","family":"Madariaga","sequence":"additional","affiliation":[{"name":"Grupo Espa\u00f1ol de Investigaci\u00f3n en C\u00e1ncer de Ovario (GEICO), 28003 Madrid, Spain"},{"name":"Hospital Universitario 12 de Octubre, 28026 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uta","family":"Ringsdorf","sequence":"additional","affiliation":[{"name":"North-Eastern German Society for Gynecological Oncology (NOGGO), 13359 Berlin, Germany"},{"name":"Lahn-Dill Kliniken Wetzlar, 35578 Wetzlar, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1574-6572","authenticated-orcid":false,"given":"Tibor","family":"Zwimpfer","sequence":"additional","affiliation":[{"name":"Swiss GO Trial Group (Swiss GO), 4031 Basel, Switzerland"},{"name":"Gynecological Cancer Centre, University Hospital Basel, 4031 Basel, Switzerland"},{"name":"Ovarian Cancer Research, Department of Biomedicine, University of Basel, 4031 Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caterina","family":"Madro\u00f1al","sequence":"additional","affiliation":[{"name":"Grupo Espa\u00f1ol de Investigaci\u00f3n en C\u00e1ncer de Ovario (GEICO), 28003 Madrid, Spain"},{"name":"Institut d\u2019Oncologia Cl\u00ednica, 08017 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Martin","family":"Enzinger","sequence":"additional","affiliation":[{"name":"North-Eastern German Society for Gynecological Oncology (NOGGO), 13359 Berlin, Germany"},{"name":"Sozialstiftung Bamberg\u2013Klinikum Bamberg, 96049 Bamberg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9117-090X","authenticated-orcid":false,"given":"Sara","family":"Al Rubaish","sequence":"additional","affiliation":[{"name":"Dr. Sulaiman Al Habib Medical Group, Alkhober 34423, Saudi Arabia"},{"name":"Pan-Arabian Research Society of Gynecological Oncology (PARSGO), 13353 Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5963-6623","authenticated-orcid":false,"given":"Jalid","family":"Sehouli","sequence":"additional","affiliation":[{"name":"Department of Gynecology with Center for Oncological Surgery, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, 13353 Berlin, Germany"},{"name":"North-Eastern German Society for Gynecological Oncology (NOGGO), 13359 Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8617-5535","authenticated-orcid":false,"given":"Hannah","family":"Woopen","sequence":"additional","affiliation":[{"name":"Department of Gynecology with Center for Oncological Surgery, Charit\u00e9\u2014Universit\u00e4tsmedizin Berlin, 13353 Berlin, Germany"},{"name":"North-Eastern German Society for Gynecological Oncology (NOGGO), 13359 Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e000049","DOI":"10.1136\/bmjonc-2023-000049","article-title":"Global trends in incidence, death, burden and risk factors of early-onset cancer from 1990 to 2019","volume":"2","author":"Zhao","year":"2023","journal-title":"BMJ Oncol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"105553","DOI":"10.1016\/j.esmoop.2025.105553","article-title":"The rising tides of cancers among young adults","volume":"10","author":"Rassy","year":"2025","journal-title":"ESMO Open"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1614","DOI":"10.1016\/S1470-2045(24)00523-0","article-title":"The current and future global burden of cancer among adolescents and young adults: A 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