Abstract
Evaluation of the ovarian reserve after fertility-sparing surgery for ovarian malignancy by measuring the level of serum anti-Müllerian hormone
Highlights
With the advancements in cancer treatment, the prognoses of cancers in young patients have improved remarkably
According to the guidelines of the Japanese Society of Obstetrics and Gynecology, preservation of a part of the uterus and ovaries is permitted for some subgroups of patients with good prognoses, which include patients with early stage high-grade epithelial ovarian cancers, borderline ovarian tumors, and malignant germ cell tumors [1]
Kawasaki A (2018) Evaluation of the ovarian reserve after fertility-sparing surgery for ovarian malignancy by measuring the level of serum anti-Müllerian hormone the pathological diagnosis during the first surgery performed for the estimation of benign tumors
Summary
With the advancements in cancer treatment, the prognoses of cancers in young patients have improved remarkably. Female cancer survivors with delayed marriage and childbirth require the use of assisted reproductive techniques. These techniques are required in patients with ovarian malignancies. The standard surgery for malignant ovarian tumors usually includes total resection of the uterus and both ovaries. According to the guidelines of the Japanese Society of Obstetrics and Gynecology, preservation of a part of the uterus and ovaries is permitted for some subgroups of patients with good prognoses, which include patients with early stage high-grade epithelial ovarian cancers, borderline ovarian tumors, and malignant germ cell tumors [1]. Some studies have reported that fertility-sparing surgery (FSS) can be extended to malignant ovarian tumors [2,3]. A Japanese clinical oncology group is performing a prospective non-randomized verification study regarding the selection of patients with epithelial ovarian cancer for FSS [4]
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