Ex vivo Retrieval of Mature Oocytes for Fertility Preservation in a Patient with Bilateral Borderline Ovarian Tumor

Abstract We report a case of ultrasound-guided ex vivo oocyte retrieval for fertility preservation in a woman with bilateral borderline ovarian tumor, for whom conventional transvaginal oocyte retrieval was deemed unsafe because of the increased risk of malignant cell spillage. Ovarian stimulation w...

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Main Authors: Bruno Ramalho de Carvalho, Geórgia Fontes Cintra, Taise Moura Franceschi, Íris de Oliveira Cabral, Leandro Santos de Araújo Resende, Brenda Pires Gumz, Thiago David Alves Pinto
Format: Article
Language:English
Published: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia 2021-05-01
Series:Revista Brasileira de Ginecologia e Obstetrícia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000300225&tlng=en
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author Bruno Ramalho de Carvalho
Geórgia Fontes Cintra
Taise Moura Franceschi
Íris de Oliveira Cabral
Leandro Santos de Araújo Resende
Brenda Pires Gumz
Thiago David Alves Pinto
author_facet Bruno Ramalho de Carvalho
Geórgia Fontes Cintra
Taise Moura Franceschi
Íris de Oliveira Cabral
Leandro Santos de Araújo Resende
Brenda Pires Gumz
Thiago David Alves Pinto
author_sort Bruno Ramalho de Carvalho
collection DOAJ
description Abstract We report a case of ultrasound-guided ex vivo oocyte retrieval for fertility preservation in a woman with bilateral borderline ovarian tumor, for whom conventional transvaginal oocyte retrieval was deemed unsafe because of the increased risk of malignant cell spillage. Ovarian stimulation with gonadotropins was performed. Surgery was scheduled according to the ovarian response to exogenous gonadotropic stimulation; oophorectomized specimens were obtained by laparoscopy, and oocyte retrieval was performed ~ 37 hours after the ovulatory trigger. The sum of 20 ovarian follicles were aspirated, and 16 oocytes were obtained.We performed vitrification of 12 metaphase II oocytes and 3 oocytes matured in vitro. Our result emphasizes the viability of ex vivo mature oocyte retrieval after controlled ovarian stimulation for those with high risk of malignant dissemination by conventional approach.
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spelling doaj.art-9def99d8889244e6b22e2f4b66e156f22022-12-21T19:29:00ZengFederação Brasileira das Sociedades de Ginecologia e ObstetríciaRevista Brasileira de Ginecologia e Obstetrícia0100-72032021-05-0143322523110.1055/s-0040-1718436Ex vivo Retrieval of Mature Oocytes for Fertility Preservation in a Patient with Bilateral Borderline Ovarian TumorBruno Ramalho de Carvalhohttps://orcid.org/0000-0002-1554-9499Geórgia Fontes Cintrahttps://orcid.org/0000-0002-6463-7268Taise Moura Franceschihttps://orcid.org/0000-0003-4499-6965Íris de Oliveira Cabralhttps://orcid.org/0000-0001-8166-5095Leandro Santos de Araújo Resendehttps://orcid.org/0000-0001-8186-4051Brenda Pires Gumzhttps://orcid.org/0000-0001-7796-1780Thiago David Alves Pintohttps://orcid.org/0000-0001-6347-0980Abstract We report a case of ultrasound-guided ex vivo oocyte retrieval for fertility preservation in a woman with bilateral borderline ovarian tumor, for whom conventional transvaginal oocyte retrieval was deemed unsafe because of the increased risk of malignant cell spillage. Ovarian stimulation with gonadotropins was performed. Surgery was scheduled according to the ovarian response to exogenous gonadotropic stimulation; oophorectomized specimens were obtained by laparoscopy, and oocyte retrieval was performed ~ 37 hours after the ovulatory trigger. The sum of 20 ovarian follicles were aspirated, and 16 oocytes were obtained.We performed vitrification of 12 metaphase II oocytes and 3 oocytes matured in vitro. Our result emphasizes the viability of ex vivo mature oocyte retrieval after controlled ovarian stimulation for those with high risk of malignant dissemination by conventional approach.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000300225&tlng=encryopreservationex vivo oocyte retrievalfertility preservationovarian cancerborderline ovarian tumorvitrification
spellingShingle Bruno Ramalho de Carvalho
Geórgia Fontes Cintra
Taise Moura Franceschi
Íris de Oliveira Cabral
Leandro Santos de Araújo Resende
Brenda Pires Gumz
Thiago David Alves Pinto
Ex vivo Retrieval of Mature Oocytes for Fertility Preservation in a Patient with Bilateral Borderline Ovarian Tumor
Revista Brasileira de Ginecologia e Obstetrícia
cryopreservation
ex vivo oocyte retrieval
fertility preservation
ovarian cancer
borderline ovarian tumor
vitrification
title Ex vivo Retrieval of Mature Oocytes for Fertility Preservation in a Patient with Bilateral Borderline Ovarian Tumor
title_full Ex vivo Retrieval of Mature Oocytes for Fertility Preservation in a Patient with Bilateral Borderline Ovarian Tumor
title_fullStr Ex vivo Retrieval of Mature Oocytes for Fertility Preservation in a Patient with Bilateral Borderline Ovarian Tumor
title_full_unstemmed Ex vivo Retrieval of Mature Oocytes for Fertility Preservation in a Patient with Bilateral Borderline Ovarian Tumor
title_short Ex vivo Retrieval of Mature Oocytes for Fertility Preservation in a Patient with Bilateral Borderline Ovarian Tumor
title_sort ex vivo retrieval of mature oocytes for fertility preservation in a patient with bilateral borderline ovarian tumor
topic cryopreservation
ex vivo oocyte retrieval
fertility preservation
ovarian cancer
borderline ovarian tumor
vitrification
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000300225&tlng=en
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