Lee Sanghoon, Kim Seul Ki, Hwang Kyung Joo, Kim Tak, Kim Seok Hyun
Department of Obstetrics and Gynecology, Korea University College of Medicine, Seoul, Korea.
Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea.
Clin Exp Reprod Med. 2017 Dec;44(4):175-180. doi: 10.5653/cerm.2017.44.4.175. Epub 2017 Dec 31.
Fertility preservation plays a central role in cancer care since an increasingly large number of cancer patients are surviving as a result of improvements in diagnostic and therapeutic strategies. Physicians who take part in the initial diagnosis and management of gynecologic cancer should understand the importance of fertility preservation. Since indications for fertility preservation are limited to early-stage gynecologic cancer, a surgeon must carefully consider each indication. Before performing fertility-sparing surgery, health professionals should compare its oncologic and pregnancy outcomes with those of other standard treatments. Individualized treatment strategies should be delivered depending on the patient's situation, and physicians should provide timely information and appropriate counseling.
随着诊断和治疗策略的改进,越来越多的癌症患者得以存活,生育力保存在癌症治疗中发挥着核心作用。参与妇科癌症初始诊断和管理的医生应了解生育力保存的重要性。由于生育力保存的适应证仅限于早期妇科癌症,外科医生必须仔细考虑每一项适应证。在进行保留生育功能的手术前,医疗专业人员应将其肿瘤学和妊娠结局与其他标准治疗方法的结局进行比较。应根据患者情况提供个体化的治疗策略,医生应及时提供信息并给予适当的咨询。