[Methods and conditions of fertility preservation in early-stage ovarian tumors].

Abstract:

:The aim of this study is to review the literature of fertility-sparing techniques and their safety in early-stage malignant ovarian tumors, especially in epithelial ovarian cancer. Fertility preservation is widely accepted in early-stage borderline, germ cell and sex cord-stromal tumors. Based on data from retrospective studies, fertility-sparing surgery in epithelial ovarian cancer can be recommended in stage IA, grade 1-2 and favorable hystologic type ovarian cancer. Above stage IA, or in grade 3, or in clear-cell tumors decision making process about fertility-sparing surgery should be individual. Correct surgical staging is mandatory and oncologic safety should be of primary importance. In the group of carefully selected patients oncological outcomes are identical to those of radical surgery. Spontaneous pregnancy rates vary, but they are generally high. Adequate counseling with patients, detailed documentation and careful follow-up is of outstanding importance. In order to improve the quality of fertility preservation techniques, establishment of treatment centers is recommended.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

Szatmári E,Máté S,Sipos N,Szánthó A,Silhavy M,Rigó J Jr

doi

10.1556/OH.2013.29581

subject

Has Abstract

pub_date

2013-04-07 00:00:00

pages

523-30

issue

14

eissn

0030-6002

issn

1788-6120

pii

PV548TH335732042

journal_volume

154

pub_type

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