Fertility sparing surgery for stage Ic ovarian cancer: An eight case series
Introduction. One case out of 3 cases of primary ovarian cancer is diagnosed at an early stage. Almost 15% of ovarian cancers are diagnosed in women who are within the range of procreation age, raising the debate on the feasibility of fertility-sparing surgery (FSS) for those tumors. In the case the...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Digital ProScholar Media
2019-05-01
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| Series: | Journal of Clinical and Investigative Surgery |
| Subjects: | |
| Online Access: | https://www.e-repository.org/jcis/4.1/32.37.pdf |
| _version_ | 1831788923230093312 |
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| author | Montassar Ghalleb Hatem Bouzaiene Sarah Seghaier Hanen Bouaziz Monia Hechiche Riadh Chargui Rahal Khaled |
| author_facet | Montassar Ghalleb Hatem Bouzaiene Sarah Seghaier Hanen Bouaziz Monia Hechiche Riadh Chargui Rahal Khaled |
| author_sort | Montassar Ghalleb |
| collection | DOAJ |
| description | Introduction. One case out of 3 cases of primary ovarian cancer is diagnosed at an early stage. Almost 15% of ovarian cancers are diagnosed in women who are within the range of procreation age, raising the debate on the feasibility of fertility-sparing surgery (FSS) for those tumors. In the case the patient is admitted with stage 1A or 1B in most histologic types, it is still controversial in stage 1C. Results and Discussions. This is an eight-patient-case series. The median age is 27 years old (ranging from 18 to 42). The main clinical manifestation was pelvic pain (87.5%). Four patients (50%) presented with tumor torsion. All patients underwent FSS; five of them (62.5%) had conservative staging, two (25%) underwent salpingooophorectomy and one (12.5%) ovariectomy, type histo + stade Figo. The chemotherapeutic treatment was administered to four patients (50%) following surgery without major side effects. One patient (12.5%) presented a loco regional recurrence that occurred 14 months later. She was treated with combined chemotherapy and radical surgery. One patient out of eight (12.5%) achieved a natural pregnancy after the treatment and another one (12.5%) was submitted to an assisted reproductive procedure which did not result in a viable pregnancy. Conclusion. FSS seems to be a suitable approach for stage 1C ovarian cancer. However, more case series and meta-analyses should be conducted. |
| first_indexed | 2024-12-22T13:58:46Z |
| format | Article |
| id | doaj.art-7d814baa5dde43739a7a008b16d203b4 |
| institution | Directory Open Access Journal |
| issn | 2559-5555 |
| language | English |
| last_indexed | 2024-12-22T13:58:46Z |
| publishDate | 2019-05-01 |
| publisher | Digital ProScholar Media |
| record_format | Article |
| series | Journal of Clinical and Investigative Surgery |
| spelling | doaj.art-7d814baa5dde43739a7a008b16d203b42022-12-21T18:23:28ZengDigital ProScholar MediaJournal of Clinical and Investigative Surgery2559-55552019-05-0141323710.25083/2559.5555/4.1/32.37Fertility sparing surgery for stage Ic ovarian cancer: An eight case seriesMontassar GhallebHatem BouzaieneSarah SeghaierHanen BouazizMonia HechicheRiadh CharguiRahal KhaledIntroduction. One case out of 3 cases of primary ovarian cancer is diagnosed at an early stage. Almost 15% of ovarian cancers are diagnosed in women who are within the range of procreation age, raising the debate on the feasibility of fertility-sparing surgery (FSS) for those tumors. In the case the patient is admitted with stage 1A or 1B in most histologic types, it is still controversial in stage 1C. Results and Discussions. This is an eight-patient-case series. The median age is 27 years old (ranging from 18 to 42). The main clinical manifestation was pelvic pain (87.5%). Four patients (50%) presented with tumor torsion. All patients underwent FSS; five of them (62.5%) had conservative staging, two (25%) underwent salpingooophorectomy and one (12.5%) ovariectomy, type histo + stade Figo. The chemotherapeutic treatment was administered to four patients (50%) following surgery without major side effects. One patient (12.5%) presented a loco regional recurrence that occurred 14 months later. She was treated with combined chemotherapy and radical surgery. One patient out of eight (12.5%) achieved a natural pregnancy after the treatment and another one (12.5%) was submitted to an assisted reproductive procedure which did not result in a viable pregnancy. Conclusion. FSS seems to be a suitable approach for stage 1C ovarian cancer. However, more case series and meta-analyses should be conducted.https://www.e-repository.org/jcis/4.1/32.37.pdfovarian cancerstage ICsurgeryfertility |
| spellingShingle | Montassar Ghalleb Hatem Bouzaiene Sarah Seghaier Hanen Bouaziz Monia Hechiche Riadh Chargui Rahal Khaled Fertility sparing surgery for stage Ic ovarian cancer: An eight case series Journal of Clinical and Investigative Surgery ovarian cancer stage IC surgery fertility |
| title | Fertility sparing surgery for stage Ic ovarian cancer: An eight case series |
| title_full | Fertility sparing surgery for stage Ic ovarian cancer: An eight case series |
| title_fullStr | Fertility sparing surgery for stage Ic ovarian cancer: An eight case series |
| title_full_unstemmed | Fertility sparing surgery for stage Ic ovarian cancer: An eight case series |
| title_short | Fertility sparing surgery for stage Ic ovarian cancer: An eight case series |
| title_sort | fertility sparing surgery for stage ic ovarian cancer an eight case series |
| topic | ovarian cancer stage IC surgery fertility |
| url | https://www.e-repository.org/jcis/4.1/32.37.pdf |
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