Twenty-five-year-old Woman with Bilateral Borderline Ovarian Tumour Desiring to Preserve Fertility - Case Report and Literature Review on the Current State of Fertility Preservation in Women with Borderline Ovarian Tumours.

Abstract:

:Borderline ovarian tumours are semimalignant tumours occurring unilaterally or bilaterally with a peak incidence among women of reproductive age. Since the affected women often wish to preserve fertility, particular precautions must be taken when counselling the patient and obtaining consent prior to planning an individual treatment. Options for preserving fertility include an organ-sparing surgical procedure and cryopreservation of oocytes and/or ovarian tissue. In this article, we report on a 25-year-old patient with a bilateral seromucinous borderline tumour who desired all fertility-preserving options. In order to perform the procedure without delay, we opted to perform luteal phase stimulation prior to oocyte retrieval. We conclude by discussing the current literature on the state of fertility preservation in the treatment of borderline ovarian tumours. :Borderline-Tumoren des Ovars sind semimaligne ein- oder beidseitig auftretende Tumoren, die ihren Altersgipfel bei Frauen im reproduktiven Alter haben. Da die betroffenen Frauen häufig einen Kinderwunsch hegen, ergeben sich besondere Notwendigkeiten der Aufklärung vor der Planung einer individuellen Therapie. Möglichkeiten des Erhalts der Fertilität sind ein organschonendes operatives Vorgehen sowie die Kryokonservierung von Eizellen und/oder Eierstockgewebe. Wir berichten über eine 25-jährige Patientin mit beidseitigem seromuzinösem Borderline-Tumor, die alle Optionen des Fertilitätserhalts wünschte. Um die Operation zeitnah durchführen zu können, entschieden wir uns für eine Lutealphasenstimulation vor der Follikelpunktion. Abschließend diskutieren wir die aktuelle Literatur zum Stand der Fertilitätsprotektion beim ovariellen Borderline-Tumor.

authors

Findeklee S,Lotz L,Heusinger K,Hoffmann I,Dittrich R,Beckmann MW

doi

10.1055/s-0042-109267

subject

Has Abstract

pub_date

2016-11-01 00:00:00

pages

1189-1193

issue

11

eissn

0016-5751

issn

1438-8804

journal_volume

76

pub_type

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