Fertility-sparing options for patients with gynecologic malignancies Journal Article


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"
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  1. Dennis S Chi
    707 Chi
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