Outcomes of laparoscopic fertility-sparing surgery in clinically early-stage epithelial ovarian cancer

박진영; 허은진; 이정원; 이유영; 김태중; 김병기; 배덕수

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자료유형: 학술저널

저자정보: 박진영 (성균관대학교) 허은진 (삼성서울병원) 이정원 (삼성서울병원) 이유영 (성균관대학교) 김태중 (성균관대학교) 김병기 (삼성서울병원) 배덕수

저널정보: 대한부인종양학회 Journal of Gynecologic Oncology Journal of Gynecologic Oncology Vol.27 No.2

발행연도: 2016.1

수록면: 1 - 10 (10page)

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이 논문의 연구 히스토리 (2)

2016

Outcomes of laparoscopic fertility-sparing surgery in clinically early-stage epithelial ovarian cancer

박진영 , 허은진 , 이정원 외 4명 Journal of Gynecologic Oncology 2016.01 학술저널

2015

Outcomes of laparoscopic fertility-sparing surgery for presumed early-stage epithelial ovarian cancer

박진영 의학과 2015.01 학위논문

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Objective: Fertility-sparing surgery (FSS) is becoming an important technique in the surgical management of young women with early-stage epithelial ovarian cancer (EOC). We retrospectively evaluated the outcome of laparoscopic FSS in presumed clinically early-stage EOC. Methods: We retrospectively searched databases of patients who received laparoscopic FSS for EOC between January 1999 and December 2012 at Samsung Medical Center. Women aged ≤40 years were included. The perioperative, oncological, and obstetric outcomes of these patients were evaluated. Results: A total of 18 patients was evaluated. The median age of the patients was 33.5 years (range, 14 to 40 years). The number of patients with clinically stage IA and IC was 6 (33.3%) and 12 (66.7%), respectively. There were 7 (38.9%), 5 (27.8%), 3 (16.7%), and 3 patients (16.7%) with mucinous, endometrioid, clear cell, and serous tumor types, respectively. Complete surgical staging to preserve the uterus and one ovary with adnexa was performed in 4 patients (22.2%). Two out of them were upstaged to The International Federation of Gynecology and Obstetrics stage IIIA1. During the median follow-up of 47.3 months (range, 11.5 to 195.3 months), there were no perioperative or long term surgical complications. Four women (22.2%) conceived after their respective ovarian cancer treatments. Three (16.7%) of them completed full-term delivery and one is expecting a baby. One patient had disease recurrence. No patient died of the disease. Conclusion: FSS in young patients with presumed clinically early-stage EOC is a challenging and cautious procedure. Further studies are urgent to determine the safety and feasibility of laparoscopic FSS in young patients with presumed clinically early-stage EOC.

참고문헌 (32)

참고문헌 신청

박보영 / 2010 / Epidemiological characteristics of ovarian cancer in Korea / Journal of Gynecologic Oncology 21(4):241~247

Heintz AP / 2006 / Carcinoma of the ovary. FIGO 26th Annual Report on the Results of Treatment in Gynecological Cancer / Int J Gynaecol Obstet 95(Suppl 1):S161~S192

Smedley H / 1985 / Age as a prognostic factor in epithelial ovarian carcinoma / Br J Obstet Gynaecol 92:839~842

Swenerton KD / 1985 / Ovarian carcinoma: a multivariate analysis of prognostic factors / Obstet Gynecol 65:264~270

Plaxe SC / 1993 / Profiles of women age 30-39 and age less than 30 with epithelial ovarian cancer / Obstet Gynecol 81:651~654

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이 논문의 저자 정보

박진영

소속기관 성균관대학교

주요연구분야 의약학 > 임상의학 > 산부인과학

논문수 1 이용수 0

허은진

소속기관 삼성서울병원

주요연구분야 의약학 > 임상의학 > 산부인과학

논문수 1 이용수 0

Jeong-Won Lee

소속기관 성균관대학교