Fertility sparing treatment for bilateral borderline ovarian tumor: a case report and management strategy explication.

IF 17.7 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2023-12-01 Epub Date: 2022-10-04 DOI:10.23736/S2724-606X.22.05115-6
Carlo Ronsini, Stefano Restaino, Maria C Budani, Giuseppina Porcelli, Gian M Tiboni, Francesco Fanfani
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Abstract

A bilateral adnexal mass with suspected carcinosis could be a challenging experience for the gynecologist especially in fertile age and in patients with a desire for pregnancy. A 26-year-old patient who came to the outpatient clinical observation for bilateral, multilocular pelvic masses, with more than 4 papillary structures, color score 2, hypomobile compared to the uterus and rectum, respectively of 65 and 68mm in maximum diameter, free liquid in the abdomen and suspected of ovarian neoplasm. Positive tumor markers and a strong desire of a fertility sparing treatment (FST). A 2-step surgical approach managed to perform a diagnosis of bilateral ovarian borderline tumor with implants and a fertility sparing surgery. Harvesting and cryopreserving oocytes prior to the cytoreductive intervention was successfully performed.

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保留生育能力治疗双侧交界性卵巢肿瘤1例报告及治疗策略说明。
双侧附件肿块疑似癌可能是一个具有挑战性的经验,妇科医生,特别是在育龄和患者有怀孕的愿望。患者26岁,因双侧、多房盆腔肿块就诊门诊临床观察,乳头状结构4个以上,颜色评分2分,与子宫、直肠相比流动性较低,最大直径分别为65、68mm,腹部游离液体,怀疑卵巢肿瘤。阳性肿瘤标志物和生育保留治疗(FST)的强烈愿望。两步手术方法成功地进行了双侧卵巢交界性肿瘤的诊断与植入和生育保留手术。在细胞减少干预之前,成功地进行了卵母细胞的收集和冷冻保存。
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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