Authors: | Leitao, M. M. Jr; Chi, D. S. |
Article Title: | Fertility-sparing options for patients with gynecologic malignancies |
Abstract: | Gynecologic malignancies are most often diagnosed in postmenopausal women, but these malignancies also arise in premenopausal women, in whom issues of fertility can be a major concern. An increasing number of women are delaying childbearing. This has led to a significant increase in the number of women diagnosed with a gynecologic malignancy before desired completion of childbearing. Many of the standard treatments for these malignancies result in permanent sterility; however, there are now options for select young women who desire to preserve fertility. Patients should be told that data on fertility-sparing procedures are limited and that many of these options are of an experimental, nonstandard nature. The care of these patients is challenging and complex and requires a multidisciplinary approach, which should include gynecologic oncologists, reproductive endocrinologists, and perinatologists. ©AlphaMed Press. |
Keywords: | review; side effect; paclitaxel; hysterectomy; endometrial neoplasms; endometrium cancer; salpingooophorectomy; ovarian cancer; ovarian neoplasms; carboplatin; ovary cancer; cyclophosphamide; diagnostic imaging; high risk patient; ovary insufficiency; cancer hormone therapy; genital neoplasms, female; patient care; conservative treatment; uterine cervix cancer; postmenopause; fertility; uterine cervical neoplasms; uterine cervix biopsy; female genital tract tumor; female fertility; megestrol acetate; cervical cancer; medroxyprogesterone acetate; cerclage; transvaginal echography; amenorrhea; fertility-sparing; endometrial cancer radical vaginal trachelectomy; ovarian transposition |
Journal Title: | The Oncologist |
Volume: | 10 |
Issue: | 8 |
ISSN: | 1083-7159 |
Publisher: | Oxford University Press |
Date Published: | 2005-09-01 |
Start Page: | 613 |
End Page: | 622 |
Language: | English |
DOI: | 10.1634/theoncologist.10-8-613 |
PUBMED: | 16177285 |
PROVIDER: | scopus |
DOI/URL: | |
Notes: | --- - "Cited By (since 1996): 12" - "Export Date: 24 October 2012" - "CODEN: OCOLF" - "Source: Scopus" |