Open AccessFertility preservation in gynecologic cancer
Author(s) -
Makar Amin PH.,
Tropé Claes
Publication year - 2001
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1034/j.1600-0412.2001.080009794.x
Subject(s) - medicine , fertility preservation , infertility , fertility , endometrial cancer , disease , cervical cancer , modalities , gynecology , cervix , pregnancy , cancer , gynecologic cancer , intensive care medicine , obstetrics , ovarian cancer , population , social science , environmental health , sociology , biology , genetics
Subject. Management of patients with gynecologic cancer can now often be tailored to the extent of the disease and preservation of child‐bearing ability and/or sexual function may be possible for certain women with early invasive disease. Method. A better understanding of the tumor‐biology, and the consideration of different clinicopathologic factors, that bear prognostic significance in therapeutic modalities, will allow more and more individualization of treatment. Discussion. Management of young women with early gynecologic cancer should therefore be individualized with the risk of conservative therapy balanced against the dangers and advantages of more radical therapy. Experts in gynecologic oncology and infertility together with an informed patient and her family should make treatment decisions. Outcome. This article will review the conservative surgical management of early invasive cancers of the ovary, cervix and endometrium, in order to help preserve child‐bearing capacity. In addition, management of gynecologic cancers diagnosed during pregnancy will also be discussed.