지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학위논문
- 저자정보
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- 김병기
- 발행연도
- 2015
- 저작권
- 성균관대학교 논문은 저작권에 의해 보호받습니다.
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초록· 키워드
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Objective: Fertility-sparing surgery (FSS) is becoming an important issue in the surgical management of young women with early-stage epithelial ovarian cancer (EOC). We retrospectively evaluated the outcome of laparoscopic FSS in presumed 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. Perioperative, oncological, and obstetric outcomes of these patients were evaluated.
Results: A total of 18 patients was evaluated. The median age of patients was 33.5 (range: 14-40) years. The number of patients with FIGO stage IA, IC, or IIIA1 was 5 (27.8%), 11 (61.1%), or 2 (11.1%), respectively. There were 7 (38.9%), 5 (27.8%), 3 (16.7%), and 3 (16.7%) patients with mucinous, endometrioid, clear cell, and serous type of tumor, respectively. Complete surgical staging to preserve uterus and one ovary with adnexa was performed in 4 (22.2%) patients. During the median follow up of 32.6 (9.2 - 171.1) months, there were no perioperative or long term surgical complications. Three (16.7%) women completed full term delivery. One patient had disease recurrence. However, no one died of the disease.
Conclusions: Laparoscopic FSS in patients with presumed early-stage EOC can be a feasible option for selected patients who desire fertility preservation.
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. Perioperative, oncological, and obstetric outcomes of these patients were evaluated.
Results: A total of 18 patients was evaluated. The median age of patients was 33.5 (range: 14-40) years. The number of patients with FIGO stage IA, IC, or IIIA1 was 5 (27.8%), 11 (61.1%), or 2 (11.1%), respectively. There were 7 (38.9%), 5 (27.8%), 3 (16.7%), and 3 (16.7%) patients with mucinous, endometrioid, clear cell, and serous type of tumor, respectively. Complete surgical staging to preserve uterus and one ovary with adnexa was performed in 4 (22.2%) patients. During the median follow up of 32.6 (9.2 - 171.1) months, there were no perioperative or long term surgical complications. Three (16.7%) women completed full term delivery. One patient had disease recurrence. However, no one died of the disease.
Conclusions: Laparoscopic FSS in patients with presumed early-stage EOC can be a feasible option for selected patients who desire fertility preservation.
목차
1. Introduction2. Materials and Methods3. Results4. Discussion5. References
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