Fertility-Sparing in Endometrial Cancer

Gynecologic and Obstetric Investigation - Tập 67 Số 4 - Trang 250-268 - 2009
Siriwan Tangjitgamol1, Sumonmal Manusirivithaya1, Jitti Hanprasertpong2
1Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Bangkok Metropolitan Administration Medical College and Vajira Hospital, Bangkok, and
2Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand

Tóm tắt

Because endometrial cancer (EMC) patients frequently present at an early stage of disease, most have favorable outcomes, thus their quality of life after treatment is as important a consideration as a cure of cancer. This issue is especially important when EMC is encountered in younger or reproductive ages when the afflicted woman has not achieved her fertility function. It is a complicated situation when a physician encounters a request or question from a woman with EMC or her family concerning whether she could conceive a child prior to a definite cancer treatment. Despite being an interesting issue, there are only a few studies with definite treatment guidelines or any evidence-based recommendations concerning conservative treatment for EMC. Thus, we undertook this study to explore various considerations regarding the criteria and caveats for the management of EMC women who desire to preserve their fertility function. An algorithm guideline for conservative fertility treatment for EMC is also presented.

Từ khóa


Tài liệu tham khảo

10.3322%2FCA.2007.0010

10.1126%2Fscience.3755843

10.1111%2Fj.1525-1438.2006.00219.x

10.1016%2Fj.fertnstert.2003.05.031

10.1016%2FS0015-0282%2801%2902937-5

10.1016%2Fj.ygyno.2003.08.007

10.1016%2FS0015-0282%2801%2901983-5

10.1159%2F000052928

10.1093%2Fhumrep%2F14.7.1908

10.1111%2Fj.1525-1438.2006.00730.x

10.1006%2Fgyno.2001.6407

10.1002%2F1097-0142%2819901015%2960%3A8%2B%3C2035%3A%3AAID-CNCR2820601515%3E3.0.CO%3B2-8

10.1016%2F0090-8258%2891%2990086-K

10.1016%2FS0301-2115%2898%2900306-6

10.1016%2FS0029-7844%2803%2900667-7

10.1002%2F1097-0142%28196804%2921%3A4%3C650%3A%3AAID-CNCR2820210416%3E3.0.CO%3B2-P

10.1016%2F0090-8258%2885%2990135-0

10.1016%2FS0304-3835%2801%2900462-1

10.1006%2Fgyno.2002.6825

10.1002%2F%28SICI%291097-0142%2819960315%2977%3A6%3C1115%3A%3AAID-CNCR17%3E3.0.CO%3B2-4

10.1016%2FS0002-9378%2896%2970192-8

10.1006%2Fgyno.1998.5086

10.1016%2FS0029-7844%2897%2900668-6

10.1016%2F0029-7844%2895%2900001-8

10.1016%2Fj.ygyno.2004.09.034

10.1093%2Fhumrep%2Fdem088

10.1016%2Fj.ygyno.2006.11.013

10.1016%2Fj.ygyno.2005.06.018

10.1016%2Fj.ygyno.2005.01.035

10.1046%2Fj.1525-1438.2003.13021.x

10.1016%2F0029-7844%2896%2900115-9

10.1016%2Fj.ygyno.2005.06.010

10.1097%2F00004347-199810000-00004

10.1002%2F%28SICI%291097-0142%2819990915%2986%3A6%3C1005%3A%3AAID-CNCR16%3E3.0.CO%3B2-%23

10.1093%2Fhumrep%2F12.8.1649

10.1002%2F1097-0142%2820001015%2989%3A8%3C1765%3A%3AAID-CNCR17%3E3.0.CO%3B2-F

10.1002%2Fcncr.21650

10.1016%2F0029-7844%2895%2900105-Z

10.1034%2Fj.1600-0897.2002.1c068.x

10.1097%2F00004347-199801000-00008

10.1016%2Fj.jmig.2006.03.010

10.1006%2Fgyno.2001.6173

10.1111%2Fj.1525-1438.2005.00162.x

10.1034%2Fj.1600-0412.2003.00035.x

10.1002%2F%28SICI%291097-0142%2820000101%2988%3A1%3C139%3A%3AAID-CNCR19%3E3.0.CO%3B2-U

10.1046%2Fj.1525-1438.2003.13044.x

10.1016%2Fj.ygyno.2004.01.005

10.1002%2Fcncr.10474

10.1046%2Fj.1525-1438.2000.010004275.x

10.1016%2Fj.jmig.2006.10.010

10.1007%2Fs00404-006-0220-5

10.1016%2Fj.ygyno.2006.03.016

10.3109%2F00016349509009946

10.1016%2Fj.ygyno.2006.10.007

10.1016%2Fj.ygyno.2004.01.031

10.1001%2Fjama.278.13.1096

10.1016%2FS0090-8258%2803%2900409-8

10.1016%2Fj.ygyno.2004.08.009

10.1007%2Fs00259-005-1876-y

10.1016%2Fj.ygyno.2007.11.044

10.1093%2Fhumrep%2Fdei434

10.3346%2Fjkms.2006.21.3.567

10.1016%2FS0029-7844%2897%2900297-4

10.1002%2Fcncr.10435

10.1200%2FJCO.2006.08.8344

10.1002%2F%28SICI%291097-0142%2819970115%2979%3A2%3C320%3A%3AAID-CNCR15%3E3.0.CO%3B2-2

10.1097%2F00004347-198909000-00003

10.1067%2Fmob.2002.122130

10.1016%2Fj.ygyno.2004.09.010

10.1016%2Fj.ygyno.2004.10.031

10.1016%2Fj.ygyno.2008.02.027

10.1097%2F00004347-199810000-00006

10.1002%2F1097-0142%28197408%2934%3A2%3C444%3A%3AAID-CNCR2820340232%3E3.0.CO%3B2-J

10.1016%2Fj.ijgo.2005.09.012

10.1016%2FS1472-6483%2810%2961122-4

10.1006%2Fgyno.2001.6434

10.1006%2Fgyno.1995.1221

10.1159%2F000078094

10.1111%2Fj.1471-0528.2004.00398.x

10.1016%2FS0140-6736%2885%2991513-2

10.1046%2Fj.1525-1438.1997.00432.x

10.1093%2Fhumrep%2F12.5.959

10.1016%2Fj.ygyno.2005.05.025

10.1006%2Fgyno.2000.5896

10.1046%2Fj.1525-1438.2003.13041.x