II期和III期浆液性交界性卵巢肿瘤患者的生育结果和肿瘤预后。

IF 4.7 2区 医学 Q1 OBSTETRICS & GYNECOLOGY International Journal of Gynecological Cancer Pub Date : 2025-04-01 Epub Date: 2025-01-17 DOI:10.1016/j.ijgc.2025.101636
Doris Célanie, Stéphanie Scherier, Amandine Maulard, Patricia Pautier, Alexandra Leary, Catherine Genestie, Philippe Morice, Sébastien Gouy
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引用次数: 0

摘要

本回顾性研究旨在分析II期和III期浆液性交界性卵巢肿瘤患者在保留生育能力手术后的生育结果和肿瘤预后,并探讨其未来的生育能力。在224例II期和III期浆液性交界性卵巢肿瘤患者中,74例(33%)接受了保留生育能力的手术。中位随访时间为4.1年(范围;3.2 - -7.9);35例(47%)患者有妊娠企图,21例(60%)患者至少有1次妊娠。18例患者(除1例非侵入性植入物外,其余均为非侵入性植入物)观察到19例活产妊娠(9例自发)。妊娠前保守治疗复发7例,妊娠后复发8例(6例复发为卵巢交界性肿瘤,1例复发为低度浆液性癌)。
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Fertility results and oncologic outcomes in patients with stage II and III serous borderline ovarian tumors.

This retrospective study aimed to analyze the fertility results and oncologic outcomes of patients with stage II and III serous borderline ovarian tumors after fertility-sparing surgery and to seek future fertility. Among 224 patients with stage II and III serous borderline ovarian tumors treated or referred to our institution, 74 (33%) underwent fertility-sparing surgery. Median time of follow-up was 4.1 years (range; 3.2-7.9); 35 (47%) patients attempted to be pregnant and 21 (60%) had at least 1 pregnancy. Nineteen live-birth pregnancies were observed (9 spontaneously) in 18 patients (all but 1 with non-invasive implants). Seven patients had recurrent disease treated conservatively before pregnancy and 8 recurred after pregnancy (6 recurred as ovarian borderline tumors and 1 as a low-grade serous carcinoma).

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来源期刊
CiteScore
6.60
自引率
10.40%
发文量
280
审稿时长
3-6 weeks
期刊介绍: The International Journal of Gynecological Cancer, the official journal of the International Gynecologic Cancer Society and the European Society of Gynaecological Oncology, is the primary educational and informational publication for topics relevant to detection, prevention, diagnosis, and treatment of gynecologic malignancies. IJGC emphasizes a multidisciplinary approach, and includes original research, reviews, and video articles. The audience consists of gynecologists, medical oncologists, radiation oncologists, radiologists, pathologists, and research scientists with a special interest in gynecological oncology.
期刊最新文献
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