Treatment Options for Pregnant Women With Ovarian Tumors

2014 ◽  
Vol 24 (6) ◽  
pp. 967-972 ◽  
Author(s):  
Rosanna Mancari ◽  
Nicoletta Tomasi-Cont ◽  
Maria Anna Sarno ◽  
Hatem A. Azim ◽  
Dorella Franchi ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Systemic Treatment ◽  
Treatment Options ◽  
Rare Event ◽  
Surgical Excision ◽  
Ovarian Tumors ◽  
Ovarian Mass ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing ◽  
Histology Grade

Diagnosis of ovarian mass during pregnancy is a rare event. Treatment of ovarian malignancies during pregnancy depends on histology, grade, stage, and gestational weeks. When possible, surgical excision is indicated, and sometimes, fertility-sparing surgery is recommended. Administration of systemic treatment before or after surgery is indicated as in nonpregnant women. Preliminary data suggest that platinum salts and taxanes are safe during pregnancy. Management of ovarian tumors in pregnancy requires a multidisciplinary approach to guarantee an optimal treatment for the mother and the fetus.

Radical trachelectomy

2021 ◽  
pp. ijgc-2020-001782
Author(s):  
Blanca Segarra-Vidal ◽  
Jan Persson ◽  
Henrik Falconer
Keyword(s):  
Cervical Cancer ◽  
Multidisciplinary Approach ◽  
Early Stage ◽  
Obstetric Outcomes ◽  
Radical Trachelectomy ◽  
Local Resources ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing ◽  
Early Stage Cervical Cancer ◽  
Prospective Trials

Radical trachelectomy is the ‘cornerstone’ of fertility-sparing surgery in patients with early-stage cervical cancer wishing to preserve fertility. Growing evidence has demonstrated the oncologic safety and subsequent favorable pregnancy outcomes in well-selected cases. In the absence of prospective trials, the decision on the appropriate surgical approach (vaginal, open, or minimally invasive surgery) should be based on local resources and surgeons’ preferences. Radical trachelectomy has the potential to preserve fertility in a large proportion of women with early-stage cervical cancer. However, prematurity and premature rupture of membranes are common obstetric complications after radical trachelectomy for cervical cancer. A multidisciplinary approach is crucial to optimize the balance between oncologic and obstetric outcomes. The purpose of this review is to provide an updated overview of the technical, oncologic, and obstetric aspects of radical trachelectomy.

scholarly journals Ovarian Steroid Cell Tumor (Not Otherwise Specified): A Case Report of Ovarian Hyperandrogenism

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Hadjkacem Faten ◽  
Ghorbel Dorra ◽  
Charfi Slim ◽  
Safi Wajdi ◽  
Charfi Nadia ◽  
...  
Keyword(s):  
Transvaginal Ultrasound ◽  
Cell Tumor ◽  
Ovarian Mass ◽  
Stromal Tumors ◽  
Not Otherwise Specified ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing ◽  
Steroid Cell Tumor ◽  
Ovarian Hyperandrogenism ◽  
Sex Cord Stromal Tumors

Steroid cell tumors (SCTs) (not otherwise specified (NOS)) are rare sex cord-stromal tumors of the ovary. These are associated with hormonal disturbances resulting in menstrual bleeding patterns and androgenic effects. We report the case of a 36-year-old female presented with hirsutism, signs of virilization, and elevated androgen levels. Transvaginal ultrasound showed a solid-appearing right ovarian mass. She underwent fertility-sparing surgery with a laparoscopic left oophorectomy. Histological examination showed a benign steroid cell tumor, NOS. These tumors often small can then present a problem of positive diagnosis responsible for a delay in the diagnosis.

Fertility-sparing surgery and reproductive-outcomes in patients with borderline ovarian tumors

2020 ◽  
Vol 157 (2) ◽  
pp. 411-417 ◽  
Author(s):  
Helmut Plett ◽  
Philipp Harter ◽  
Beyhan Ataseven ◽  
Florian Heitz ◽  
Sonia Prader ◽  
...  
Keyword(s):  
Ovarian Tumors ◽  
Reproductive Outcomes ◽  
Borderline Ovarian Tumors ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing

Fertility-Sparing Surgery for Borderline Ovarian Tumors: Oncologic Safety and Reproductive Outcomes

2011 ◽  
Vol 21 (4) ◽  
pp. 640-646 ◽  
Author(s):  
Taejong Song ◽  
Chel Hun Choi ◽  
Hwang Shin Park ◽  
Min-Kyu Kim ◽  
Yoo-Young Lee ◽  
...  
Keyword(s):  
Young Patients ◽  
Ovarian Tumors ◽  
Reproductive Outcomes ◽  
Recurrence Rates ◽  
Main Site ◽  
Oncological Safety ◽  
Borderline Ovarian Tumors ◽  
Fertility Sparing Surgery ◽  
Initial Surgery ◽  
Fertility Sparing

Introduction:To evaluate the oncological safety and reproductive outcomes of patients with borderline ovarian tumors (BOTs) treated with fertility-sparing surgery.Methods:Patients with BOTs who underwent radical or fertility-sparing surgery between 1997 and 2009 were identified from an institutional database. The recurrence rates were compared between the 2 surgery groups. To compare the reproductive outcomes, all patients who underwent fertility-sparing surgery were interviewed by telephone.Results:One hundred forty-three patients underwent radical surgery, and 155 patients underwent fertility-sparing surgery. After a median interval of 38 months from the initial surgery (range, 10-77 months), 19 patients had a recurrence. The recurrence rate was similar in the radical and fertility-sparing surgery groups (4.9% and 7.7%, respectively;P= 0.280). In the fertility-sparing surgery group, however, the main site of recurrence was the remaining ovary that was successfully salvaged with a second round of fertility-sparing surgery. Of 51 patients who attempted to conceive, 45 patients (88.2%) were successful and resulted in 54 term deliveries.Conclusions:Fertility-sparing surgery for BOTs is safe and can result in future pregnancies, suggesting that such surgery should be considered for young patients who desire preservation of fertility.

scholarly journals Unilateral salpingo-oophorectomy as fertility-sparing surgery for borderline ovarian tumors

2011 ◽  
Vol 74 (6) ◽  
pp. 250-254 ◽  
Author(s):  
Hsiao-Wen Tsai ◽  
Chin-Chu Ko ◽  
Chang-Ching Yeh ◽  
Yi-Jen Chen ◽  
Nae-Fang Twu ◽  
...  
Keyword(s):  
Ovarian Tumors ◽  
Borderline Ovarian Tumors ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing
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