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化疗和造血干细胞移植治疗期间转移性疾病患者冻融卵巢组织自体移植后妊娠和活产。

Pregnancy and live birth after autotransplantation of frozen-thawed ovarian tissue in a patient with metastatic disease undergoing chemotherapy and hematopoietic stem cell transplantation.

机构信息

Université Catholique de Louvain, Institut de Recherche Expérimentale et Clinique (IREC), Unité de Recherche GYNE, Department of Gynecology, Cliniques Universitaires Saint-Luc, Brussels, Belgium.

出版信息

Fertil Steril. 2011 Apr;95(5):1787.e1-4. doi: 10.1016/j.fertnstert.2010.11.041. Epub 2010 Dec 9.

DOI:10.1016/j.fertnstert.2010.11.041
PMID:21145049
Abstract

OBJECTIVE

To report a live birth after orthotopic transplantation of cryopreserved ovarian tissue.

DESIGN

Case report.

SETTING

Department of Gynecology, Cliniques Universitaires Saint-Luc, Brussels.

PATIENT(S): Woman with metastatic cancer who had her ovarian tissue cryopreserved in 2001 before undergoing chemotherapy and hematopoietic stem cell transplantation, resulting in premature ovarian failure.

INTERVENTION(S): Orthotopic reimplantation of ovarian cortex performed 7 years after cryopreservation.

MAIN OUTCOME MEASURE(S): Restoration of ovarian activity.

RESULT(S): Restoration of ovarian activity was observed 3.5 months after reimplantantation, and ongoing pregnancy was diagnosed 9 months after grafting. The patient delivered a healthy baby weighing 2.830 kg.

CONCLUSION(S): Our patient represents the thirteenth live birth to occur after orthotopic reimplantation of cryopreserved tissue, but the first in a woman treated for metastatic disease.

摘要

目的

报告一例冷冻卵巢组织原位移植后活产的病例。

设计

病例报告。

地点

布鲁塞尔圣吕克大学附属医院妇科。

患者

患有转移性癌症的女性,于 2001 年在接受化疗和造血干细胞移植前冷冻保存卵巢组织,导致卵巢早衰。

干预

冷冻保存 7 年后行卵巢皮质原位再植。

主要观察指标

卵巢功能恢复情况。

结果

再植后 3.5 个月观察到卵巢功能恢复,并在移植后 9 个月诊断为持续妊娠。患者分娩出一名健康婴儿,体重 2.830 千克。

结论

本例患者是冷冻保存组织原位移植后第 13 例活产,但为转移性疾病治疗后首例。

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