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Case Report <i>ex Vivo</i>Oocyte Collection to Maintain Fertility in a Patient with Micropapillary Serous borderline ovarian tumor

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Advances in Reproductive Sciences 2021年第2期9卷 160-169页

作者： Jitka Rezacova Petr Safar Lucie Petrouskova Blanka Koubkova Josef Plihal Jana Rutarova Renata Valesova Katerina Dohnalova Jakub Rezac Pavel Darebny Marketa Bahnikova Jaroslav Feyereisl Institute for the Care of Mother and Child Prague Czech Republic Department of Urology First Faculty of Medicine Charles University and General University Hospital Prague Czech Republic

Background: Approximately 11% of cancer cases are diagnosed in people of childbearing age. borderline ovarian tumors (BOTs) make up 10%-15% of all ovarian epithelial malignancies. More than one-third of all BOTs occur in women under 40 years of age. Maintaining the fertility of cured patients is the common goal of both oncologists and reproductologists. Aim: Giving young women diagnosed with a prognostically worse type of BOT and after bilateral adnexectomy the possibility to have their genetically own children by the method of ex vivo oocyte collection. Case Presentation: A 34-year-old nulligravid woman with BOT underwent right laparoscopic salpingo-oophorectomy. Histologically, a serious borderline tumor with a micropapillary pattern and a tumor locus on the ovarian surface were found. Due to histopathology, the oncologist recommended re-staging surgery: laparotomy, left salpingo-oophorectomy, omentectomy and hysterectomy. The patient refused a hysterectomy as she was planning to get pregnant with her partner. To maintain her fertility, controlled hormonal hyperstimulation and ex vivo aspiration of follicles from the ovary after salpingo-oophorectomy was performed. Ex vivo follicle expiration yielded 10 oocytes. 9 mature oocytes were fertilized by ICSI. The 6 embryos of the highest quality were individually frozen by vitrification. Cryoembryotransfer will be scheduled with the consent of the oncologist. Conclusion: This method is suitable for young women with BOT after bilateral salpingo-oophorectomy in whom ex vivo oocyte collection prevents possible leakage of tumor cells into the abdominal cavity, unlike during the conventional in vivo collection prior to surgery.

关键词： borderline ovarian tumor Radical Surgery In Vitro Oocyte Collection Maintain Fertility Oncofertility

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Is There Re-staging Surgery Necessity for borderline ovarian tumors

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当代医学科学(英文) 2023年第4期43卷 822-830页

作者： Li-li GUO Xiao-yan KANG Yue SU Xiao-yu LIU Xue WU Wan XIE Yu-huan LIU Chang-yu WANG Department of Obstetrics and Gynecology Tongji HospitalTongji Medical CollegeHuazhong University of Science and TechnologyWuhan 430030China

Objective:This study assessed the necessity of surgical re-staging in women with borderline ovarian tumors(BOTs)and evaluated the impact of complete surgical staging,lymphadenectomy,and omentectomy on disease recurrence and ***:We retrospectively reviewed the medical records of patients with BOTs.A total of 901 patients were eligible for inclusion in the study,and we evaluated some of the variables and clinical/surgical characteristics of the *** effects of the type of surgical procedure,surgical staging,and complete or incomplete staging on recurrence were *** rates of disease-free survival,overall survival,and recurrence were compared according to complete surgical staging.A Cox regression analysis was performed to identify potential prognostic factors,and survival curves were constructed using the Kaplan-Meier ***:The overall recurrence rate was 13.9%,and recurrence was comparable between the complete surgical staging group and the incomplete groups(P>0.05).The performance of complete surgical staging did not show an effect on long-term survival,and complete surgical staging,omentectomy,and lymphadenectomy had no effect on *** multivariate analyses,only radical surgery and adjuvant chemotherapy were risk factors for the recurrence of ***,we found that omentectomy led to a relatively low recurrence rate in patients with International Federation of Gynecology and Obstetrics(FIGO)stage>Ⅰ(P=0.022).Conclusion:Our results suggest that complete surgical staging should be considered a standard treatment for patients with advanced stage BOTs but not for those at FIGO stageⅠ.It might be safe to reduce the scope of surgical procedures in patients with early-stage ***,it is not necessary to perform re-staging operations for BOTs with a macroscopically normal extra-ovarian appearance.

关键词： borderline ovarian tumor staging surgery management recurrence

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