对侧卵巢存在浆液性交界性肿瘤的IC期卵巢癌保守性手术后成功妊娠：一例报告
Successful pregnancy after conservative surgery for stage IC ovarian cancer with serous borderline tumor on controlateral ovary: a case report.
作者信息
Battaglia Francesco, Plotti Francesco, Zullo Marzio Angelo, Panici Pierluigi Benedetti, Plotti Giovanni
机构信息
Department of Obstetrics and Gynecology, San Filippo Neri Hospital of Rome, Rome, Italy.
出版信息
Gynecol Oncol. 2006 Mar;100(3):612-4. doi: 10.1016/j.ygyno.2005.09.034. Epub 2005 Oct 24.
BACKGROUND
In invasive ovarian cancer, fertility saving surgery is confined to early-stage and low-grade disease, and only few study reported sparing fertility up to FIGO stage IC ovarian cancer.
CASE
We present a rare case of a 30-year-old woman affected by IC ovarian cancer with borderline tumor on controlateral ovary who underwent "conservative" debulking surgery followed by adjuvant chemotherapy. A spontaneous planned pregnancy occurred 5 years postsurgery. At 60-month follow-up, patients have no evidence of disease.
CONCLUSIONS
Nowadays, preservation of ovarian function in women with tumors in early stage should be evaluated for conservative surgery. It is important to emphasize that patients selected for conservative surgery should have complete surgical staging. Careful follow-up is mandatory to ensure safety of this procedure.
背景
在侵袭性卵巢癌中，保留生育功能的手术仅限于早期和低级别疾病，仅有少数研究报道了在国际妇产科联盟（FIGO）IC期卵巢癌中保留生育功能的情况。
病例
我们报告了一例罕见病例，一名30岁女性患有IC期卵巢癌，对侧卵巢有交界性肿瘤，接受了“保守性”减瘤手术，随后进行辅助化疗。术后5年自然受孕。在60个月的随访中，患者无疾病证据。
结论
如今，对于早期肿瘤女性，应评估保留卵巢功能以进行保守手术。必须强调的是，选择进行保守手术的患者应进行完整的手术分期。仔细的随访对于确保该手术的安全性至关重要。
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