Fertility preservation in women with cervical, endometrial or ovarian cancers
Identifieur interne : 001060 ( Main/Exploration ); précédent : 001059; suivant : 001061Fertility preservation in women with cervical, endometrial or ovarian cancers
Auteurs : Michael Feichtinger [Autriche, Suède] ; Kenny A. Rodriguez-Wallberg [Suède]Source :
- Gynecologic Oncology Research and Practice [ 2053-6844 ] ; 2016.
Abstract
Although cancer in general affects an aged population, a significant number of women develop cancer at childbearing age. Long-term survival rates after gynecological cancer, especially in young patients are increasing and all quality-of-life aspects, including preservation of fertility have become of major relevance.
Surgical techniques aimed at sparing reproductive organs and preserving fertility have been developed for women presenting with gynecological cancer found at early stages. Indications for fertility-sparing surgery are in general restricted to women presenting with a well-differentiated low-grade tumor in its early stages or with low malignant potential. Up to now, use of fertility-sparing techniques in well-selected patients has not been shown to affect overall survival negatively and fertility outcomes reported have been favorable. Still larger amounts of data and longer follow-up periods are needed. Several current fertility-sparing cancer treatments may result in sub-fertility and in those cases assisted reproductive techniques are indicated. Overall quality of life has been satisfactory in cancer patients after fertility-sparing surgery.
Fertility-sparing surgery is a viable tool to enable gynecological cancer patients of young age to fulfill their family building without impairment of oncological outcome. Cancer patients of reproductive age should undergo fertility counseling to analyze this sensitive subject. Further studies are needed to investigate the role of fertility-sparing treatment and combined adjuvant therapy in higher-grade cancers.
Url:
DOI: 10.1186/s40661-016-0029-2
PubMed: 27468354
PubMed Central: 4962474
Affiliations:
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Rodriguez-Wallberg</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Department of Oncology – Pathology, Karolinska Institutet, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Oncology – Pathology, Karolinska Institutet, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Obstetrics and Gynecology, Section of Reproductive Medicine, Karolinska University Hospital, Novumhuset Plan 4, SE-141 86 Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Obstetrics and Gynecology, Section of Reproductive Medicine, Karolinska University Hospital, Novumhuset Plan 4, SE-141 86 Stockholm</wicri:regionArea><wicri:noRegion>SE-141 86 Stockholm</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27468354</idno><idno type="pmc">4962474</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4962474</idno><idno type="RBID">PMC:4962474</idno><idno type="doi">10.1186/s40661-016-0029-2</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000F46</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000F46</idno><idno type="wicri:Area/Pmc/Curation">000F45</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000F45</idno><idno type="wicri:Area/Pmc/Checkpoint">000954</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000954</idno><idno type="wicri:Area/Ncbi/Merge">008630</idno><idno type="wicri:Area/Ncbi/Curation">008630</idno><idno type="wicri:Area/Ncbi/Checkpoint">008630</idno><idno type="wicri:Area/Main/Merge">001062</idno><idno type="wicri:Area/Main/Curation">001060</idno><idno type="wicri:Area/Main/Exploration">001060</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Fertility preservation in women with cervical, endometrial or ovarian cancers</title><author><name sortKey="Feichtinger, Michael" sort="Feichtinger, Michael" uniqKey="Feichtinger M" first="Michael" last="Feichtinger">Michael Feichtinger</name><affiliation wicri:level="3"><nlm:aff id="Aff1">Department of Obstetrics and Gynecology, Division of Gynecological Endocrinology and Reproductive Medicine, Medical University of Vienna, Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Obstetrics and Gynecology, Division of Gynecological Endocrinology and Reproductive Medicine, Medical University of Vienna, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation><affiliation wicri:level="3"><nlm:aff id="Aff2">Wunschbaby Institut Feichtinger, Vienna, Austria</nlm:aff><country xml:lang="fr">Autriche</country><wicri:regionArea>Wunschbaby Institut Feichtinger, Vienna</wicri:regionArea><placeName><settlement type="city">Vienne (Autriche)</settlement><region nuts="2" type="province">Vienne (Autriche)</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Obstetrics and Gynecology, Section of Reproductive Medicine, Karolinska University Hospital, Novumhuset Plan 4, SE-141 86 Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Obstetrics and Gynecology, Section of Reproductive Medicine, Karolinska University Hospital, Novumhuset Plan 4, SE-141 86 Stockholm</wicri:regionArea><wicri:noRegion>SE-141 86 Stockholm</wicri:noRegion></affiliation></author><author><name sortKey="Rodriguez Wallberg, Kenny A" sort="Rodriguez Wallberg, Kenny A" uniqKey="Rodriguez Wallberg K" first="Kenny A." last="Rodriguez-Wallberg">Kenny A. Rodriguez-Wallberg</name><affiliation wicri:level="3"><nlm:aff id="Aff3">Department of Oncology – Pathology, Karolinska Institutet, Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Oncology – Pathology, Karolinska Institutet, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff4">Department of Obstetrics and Gynecology, Section of Reproductive Medicine, Karolinska University Hospital, Novumhuset Plan 4, SE-141 86 Stockholm, Sweden</nlm:aff><country xml:lang="fr">Suède</country><wicri:regionArea>Department of Obstetrics and Gynecology, Section of Reproductive Medicine, Karolinska University Hospital, Novumhuset Plan 4, SE-141 86 Stockholm</wicri:regionArea><wicri:noRegion>SE-141 86 Stockholm</wicri:noRegion></affiliation></author></analytic><series><title level="j">Gynecologic Oncology Research and Practice</title><idno type="eISSN">2053-6844</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Although cancer in general affects an aged population, a significant number of women develop cancer at childbearing age. Long-term survival rates after gynecological cancer, especially in young patients are increasing and all quality-of-life aspects, including preservation of fertility have become of major relevance.</p></sec><sec><title>Outcomes</title><p>Surgical techniques aimed at sparing reproductive organs and preserving fertility have been developed for women presenting with gynecological cancer found at early stages. Indications for fertility-sparing surgery are in general restricted to women presenting with a well-differentiated low-grade tumor in its early stages or with low malignant potential. Up to now, use of fertility-sparing techniques in well-selected patients has not been shown to affect overall survival negatively and fertility outcomes reported have been favorable. Still larger amounts of data and longer follow-up periods are needed. Several current fertility-sparing cancer treatments may result in sub-fertility and in those cases assisted reproductive techniques are indicated. Overall quality of life has been satisfactory in cancer patients after fertility-sparing surgery.</p></sec><sec><title>Conclusions</title><p>Fertility-sparing surgery is a viable tool to enable gynecological cancer patients of young age to fulfill their family building without impairment of oncological outcome. Cancer patients of reproductive age should undergo fertility counseling to analyze this sensitive subject. 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Friedman</name></author><author><name sortKey="Keefe, Dl" uniqKey="Keefe D">DL Keefe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Oktay, K" uniqKey="Oktay K">K Oktay</name></author><author><name sortKey="Kim, Jy" uniqKey="Kim J">JY Kim</name></author><author><name sortKey="Barad, D" uniqKey="Barad D">D Barad</name></author><author><name sortKey="Babayev, Sn" uniqKey="Babayev S">SN Babayev</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Autriche</li><li>Suède</li></country><region><li>Svealand</li><li>Vienne (Autriche)</li></region><settlement><li>Stockholm</li><li>Vienne (Autriche)</li></settlement></list><tree><country name="Autriche"><region name="Vienne (Autriche)"><name sortKey="Feichtinger, Michael" sort="Feichtinger, Michael" uniqKey="Feichtinger M" first="Michael" last="Feichtinger">Michael Feichtinger</name></region><name sortKey="Feichtinger, Michael" sort="Feichtinger, Michael" uniqKey="Feichtinger M" first="Michael" last="Feichtinger">Michael Feichtinger</name></country><country name="Suède"><noRegion><name sortKey="Feichtinger, Michael" sort="Feichtinger, Michael" uniqKey="Feichtinger M" first="Michael" last="Feichtinger">Michael Feichtinger</name></noRegion><name sortKey="Rodriguez Wallberg, Kenny A" sort="Rodriguez Wallberg, Kenny A" uniqKey="Rodriguez Wallberg K" first="Kenny A." last="Rodriguez-Wallberg">Kenny A. Rodriguez-Wallberg</name><name sortKey="Rodriguez Wallberg, Kenny A" sort="Rodriguez Wallberg, Kenny A" uniqKey="Rodriguez Wallberg K" first="Kenny A." last="Rodriguez-Wallberg">Kenny A. Rodriguez-Wallberg</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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