Fertility preserving treatment of gynecological malignant tumors

Czech version

Authors: Luboš Minář
Authors‘ workplace: Gynekologicko-porodnická klinika LF MU a FN Brno, přednosta prof. MUDr. P. Ventruba, DrSc.
Published in: Ceska Gynekol 2009; 74(6): 420-427

Overview

Objective:
Factsheet on conservative treatment of gynecological malignant tumors allowing preservation of reproductive function.

Design:
Literature review with case reports.

Setting:
Department of Gynaecology and Obstetrics, Faculty of Medicine, Masaryk’s University and Faculty Hospital, Brno.

Methods:
Literature review of conservative treatment of gynecological malignant tumors allowing preservation of reproductive function with illustrative case reports.

Conclusions:
According to the National Oncological Register data in terms of incidence of certain gynecological malignancies, of a not insignificant group of malignancy occurring in women fertile age. This is a very sensitive area of oncogynecology where it is desirable to highly personalized approach, which is based on the stages of the disease and reflects the possibly patients wish to preserve future fertility. It is crucial to detect the disease in the early stages, which allows fertility preserving conservative procedure. Before to the start of conservative treatment to be made compulsory examinations, which is essential from the perspective of oncogynecologist particularly expert gynecological ultrasound pelvis and the abdominal cavity, which is adequate for investigating erudition seems to be the diagnostic method with sufficient accuracy the parameters expressed sensitivity and specificity, and also as a diagnostic method highly efficient in economic terms. A very important part of the team, which participates in the implementation of this specialized care in oncogynecology is also histopathologist specializing in oncogynecological issue and one of the important assumptions is the possibility to carry out work peroperative histopathological examination.

Key words:
fertility, gynecological malignant tumors, hormon therapy, surgical therapy, trachelectomy, expert ultrasonography.

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