Oncologic and fertility impact of surgical approach for borderline ovarian tumours treated with fertility sparing surgery

2019 ◽  
Vol 111 ◽  
pp. 61-68 ◽  
Author(s):  
Martina Delle Marchette ◽  
Lorenzo Ceppi ◽  
Anita Andreano ◽  
Cristina Maria Bonazzi ◽  
Alessandro Buda ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing ◽  
Ovarian Tumours

scholarly journals Nomogram to predict live birth rate after fertility-sparing surgery for borderline ovarian tumours

2016 ◽  
Vol 31 (8) ◽  
pp. 1732-1737 ◽  
Author(s):  
L. Ouldamer ◽  
S. Bendifallah ◽  
I. Naoura ◽  
G. Body ◽  
C. Uzan ◽  
...  
Keyword(s):  
Live Birth ◽  
Birth Rate ◽  
Live Birth Rate ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing ◽  
Ovarian Tumours

Serous borderline ovarian tumours: an extensive review on MR imaging features

2021 ◽  
pp. 20210116
Author(s):  
Hilal Sahin ◽  
Asli Irmak Akdogan ◽  
Janette Smith ◽  
Jeries Paolo Zawaideh ◽  
Helen Addley
Keyword(s):  
Treatment Options ◽  
Imaging Features ◽  
Extensive Review ◽  
Tips And Tricks ◽  
Intermediate Group ◽  
Fertility Sparing Surgery ◽  
Mri Features ◽  
Appropriate Treatment ◽  
Fertility Sparing ◽  
Ovarian Tumours

Serous borderline ovarian tumours (SBOTs) are an intermediate group of neoplasms which have features between benign and malignant ovarian tumours and for which, fertility-sparing surgery can be offered. MRI in imaging of SBOTs is therefore crucial in raising the possibility of the diagnosis, in order to present the patient with the most appropriate treatment options. There are characteristic MRI features that SBOTs demonstrate. In addition, recent advanced techniques, and further classification into sub types within the borderline group have been developed. The aim of this article is to review the MRI features of SBOT and provide the reporter with an awareness of the imaging tips and tricks in the differential diagnosis of SBOT.

What women want: Fertility sparing surgery in Borderline ovarian tumours patients and pregnancy outcome

2020 ◽  
Vol 46 (5) ◽  
pp. 888-892 ◽  
Author(s):  
Giorgio Candotti ◽  
Michele Peiretti ◽  
Giorgia Mangili ◽  
Alice Bergamini ◽  
Massimo Candiani ◽  
...  
Keyword(s):  
Pregnancy Outcome ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing ◽  
Ovarian Tumours

scholarly journals Fertility preservation after fertility-sparing surgery in women with borderline ovarian tumours

2020 ◽  
Vol 253 ◽  
pp. 65-70
Author(s):  
S. Khiat ◽  
M. Provansal ◽  
P. Bottin ◽  
J. Saias-Magnan ◽  
C. Metzler-Guillemain ◽  
...  
Keyword(s):  
Fertility Preservation ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing ◽  
Ovarian Tumours

Obstetric Outcomes in Women With Early Bulky Cervical Cancer Downstaged by Neoadjuvant Chemotherapy to Allow for Fertility-Sparing Surgery: A Meta-analysis and Metaregression

2018 ◽  
Vol 28 (4) ◽  
pp. 794-801 ◽  
Author(s):  
Alexandros Laios ◽  
Jenneke Kasius ◽  
Anastasios Tranoulis ◽  
Alexandros Gryparis ◽  
Thomas Ind
Keyword(s):  
Cervical Cancer ◽  
Neoadjuvant Chemotherapy ◽  
Surgical Approach ◽  
Early Stage ◽  
Meta Analysis ◽  
Obstetric Outcomes ◽  
Live Births ◽  
Fertility Sparing Surgery ◽  
Fertility Sparing ◽  
Meta Regression

ObjectiveIt is difficult to critically outline the optimal treatment for women with early-stage cervical cancer (eCC) wishing fertility preservation. Neoadjuvant chemotherapy (NAC) to downstage “bulky” eCC could potentially lead to fertility-sparing surgery (FSS) in a wider patient population. The rationale is to provide oncological safety balanced with maximal fertility effort. We aimed to obtain the most accurate fertility outcomes for eCC women treated with NAC followed by FSS and identify potential factors favoring fertility.MethodsA systematic search of MEDLINE, EMBASE, Web of Science, and Cochrane Database was performed. Studies that reported obstetric outcomes of eCC women treated with NAC followed by FSS were located. For the meta-analysis, we calculated the proportions of women who had the outcomes per total number of women who were considered for FSS. For the meta-regression, we extracted the relative risk of the outcome variables to enable comparison of the results across the studies.ResultsSeven studies enrolling 86 patients were included in the meta-analysis. Pooling of results from seven studies rendered summary proportions of 0.49 (95% confidence interval [CI], 0.32–0.66) and 0.42 (95% CI, 0.32–0.53) for the outcomes of pregnancies and live births, respectively. The outcome of first- and second-trimester losses by pooling seven studies rendered a summary proportion of 0.16 (95% CI, 0.09–0.27). For the outcome of premature deliveries, pooling of results from five studies rendered a summary proportion of 0.06 (95% CI, 0.02–0.16). This reached 0.29 (95% CI, 0.15–0.48) in women who achieved live births. In multivariate meta-regression, the more radical surgical approach resulted in a less favorable pregnancy rate compared with the less radical surgical approach (P = 0.015).ConclusionsThis strategy achieves live births in four of 10 eCC women who desire fertility, whereas their risk of miscarriage is low. Three of 10 live births will be premature.

scholarly journals Borderline ovarian tumours: management in the era of fertility-sparing surgery

2020 ◽  
Vol 14 ◽  
Author(s):  
Mattia Maramai ◽  
Fabio Barria ◽  
Mario Valenzano Menada ◽  
Sara Stigliani ◽  
Melita Moioli ◽  
...  
Keyword(s):  
Fertility Sparing Surgery ◽  
Fertility Sparing ◽  
Ovarian Tumours
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