Guillaume A, Pirrello O
CMCO, 19 rue Louis Pasteur, 67300 Schiltigheim, France.
CMCO, 19 rue Louis Pasteur, 67300 Schiltigheim, France.
J Visc Surg. 2018 Jun;155 Suppl 1:S17-S21. doi: 10.1016/j.jviscsurg.2018.04.001. Epub 2018 Apr 27.
Benign ovarian tumors occur in 7% of women during their procreative years and involve both organic and functional tumors. The average age of onset for borderline ovarian tumors is ten years younger than that for ovarian cancers. Women with benign and borderline malignant ovarian tumors are therefore more likely to be affected by fertility issues. The causal link between infertility and benign ovarian tumor stems more from the therapeutic strategies adopted than from the histological nature of the benign ovarian tumor. The question of fertility preservation must therefore be addressed in the management of these patients through respect for "correct" surgical indications, through gestures centered around ovarian preservation, and finally, if necessary, by recourse to fertility preservation techniques.
良性卵巢肿瘤在7%处于生育年龄的女性中出现，包括器质性和功能性肿瘤。卵巢交界性肿瘤的平均发病年龄比卵巢癌小十岁。因此，患有良性和交界性恶性卵巢肿瘤的女性更有可能受到生育问题的影响。不孕与良性卵巢肿瘤之间的因果关系更多地源于所采用的治疗策略，而非良性卵巢肿瘤的组织学性质。因此，在这些患者的治疗中，必须通过尊重“正确的”手术指征、围绕卵巢保留的操作，以及最后在必要时采用生育力保存技术来解决生育力保留问题。
