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Chapter 21 - Results of conservative management of ovarian malignant tumors

from Section 5 - Fertility preservation strategies in the female: medical/surgical

Published online by Cambridge University Press:  04 February 2011

By
Philippe Morice ,
Catherine Uzan  and
Sebastien Gouy
Edited by
Jacques Donnez  and
S. Samuel Kim
Jacques Donnez
Affiliation:
Université Catholique de Louvain, Belgium
S. Samuel Kim
Affiliation:
University of Kansas
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Summary

Ovarian cancers are classified as epithelial (including borderline and malignant tumors) and non-epithelial cancers. The standard treatment of borderline ovarian tumours (BOT) consisted of a total abdominal hysterectomy and bilateral salpingo-oophorectomy, peritoneal cytology, omentectomy and multiple peritoneal biopsies. The differential criterion between epithelial ovarian cancer (EOC) and BOT is the invasion of the ovarian stroma. The standard surgical procedure for EOC is a radical hysterectomy with bilateral salpingo-oophorectomy. Non-epithelial malignant tumors are characterized by: the occurrence of disease in younger patients; and a good prognosis of this tumor. Conservative treatment yields good fertility results and does not affect the survival of patients with BOT. It should be considered for young women desiring fertility, even if peritoneal implants are discovered at the time of initial surgery. In case of infertility, medically-assisted procreation techniques may be proposed to patients with stage I BOT with a limited number of stimulation cycles.

Keywords

cryobiologycryopreservation procedurescryoprotective agentsslow freezing protocolsreproductive cellsembryosoocytesspermvitrification
Type
Chapter
Information
Principles and Practice of Fertility Preservation , pp. 266 - 278
Publisher: Cambridge University Press
Print publication year: 2011

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