Mature oocyte retrieval during laparotomic debulking surgery following random-start controlled ovarian stimulation for fertility preservation in a patient with suspected ovarian cancer.
10.5468/ogs.2015.58.6.537
- Author:
Seul Ki KIM
1
;
Myo Sun KIM
;
Hoon KIM
;
Sun Mie KIM
;
Jung Ryeol LEE
;
Chang Suk SUH
;
Seok Hyun KIM
Author Information
1. Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Korea. leejrmd@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Fertility preservation;
Laparotomy;
Oocyte retrieval;
Ovarian neoplasms
- MeSH:
Bleomycin;
Chemotherapy, Adjuvant;
Cisplatin;
Cystectomy;
Diagnosis;
Etoposide;
Female;
Fertility Preservation*;
Fertility*;
Follow-Up Studies;
Humans;
Laparotomy;
Oocyte Retrieval*;
Oocytes*;
Ovarian Neoplasms*;
Ovariectomy;
Ovary;
Ovulation Induction*;
Teratoma;
Young Adult
- From:Obstetrics & Gynecology Science
2015;58(6):537-541
- CountryRepublic of Korea
- Language:English
-
Abstract:
Herein, we report a case of successful mature oocyte retrieval during laparotomy after random-start controlled ovarian stimulation (COS) in a 21-year-old nulliparous woman with suspected recurrent ovarian immature teratoma. The patient had been diagnosed with stage IIIC immature teratoma two years earlier following a staging operation, including right oophorectomy and left ovarian cystectomy. And she had subsequently undergone four rounds of postoperative adjuvant chemotherapy with bleomycin, etoposide, and cisplatin. Approximately two years after the initial surgery, she was strongly suspected of having recurrent ovarian immature teratoma on radiologic follow-up. We performed random-start COS and in vivo oocyte retrieval during laparotomic debulking surgery including left oophorectomy. Eight mature oocytes were successfully retrieved and vitrified for fertility preservation. The final pathologic diagnosis was mature cystic teratoma of the ovary and peritoneal implants consistent with gliomatosis peritonei. This is the first case report in which random-start COS and in vivo oocyte retrieval were performed.
