早期卵巢上皮性癌和交界性肿瘤保留生育功能相关问题

Fertility-sparing management for early epithelial ovarian cancer and borderline tumors

文章分别对早期卵巢上皮性癌(EOC)及交界性卵巢癌(BOT)年轻患者要求保留生育功能治疗的术式、选择病例标准、术中注意事项、术后相关问题及妊娠结局进行讨论。在对EOC及BOT患者进行保留生育功能手术(FSS)治疗前应与患者充分讨论和交流,使患者充分理解此种术式治疗后的生育潜在可能性和安全性。手术应由有经验的妇瘤医师施行,保证分期手术的准确性;术后多学科(妇科肿瘤医师、生殖医学专家、产科医师)会诊,共同治疗、随访,是获得妊娠良好结局和患者安全的保证。

In this paper we’ll discuss the fertility-sparing surgery in EOC and BOT separatelly. The surgical procedures of FSS, the carefully selected patients, the other important factors which should be paid attention to during staging surgery or postoperation care and the outcome of pregnancy of FSS are discussed. It is emphasized that the discussion about this conservative treatment with patients should be fully, before surgery, patients have to understand the conservative surgery treatment for EOC early stage, the potential possibility of pregnancy and the safety. The FSS should be performed by a gynecologic oncologist in order to get a staging exactly.Counseling with gynecologic oncologist, reproductive experts, and obstetrician, multi disciplinary treatment and follow up are important factors to get good outcome of FSS and safety for patient.