A case report of completed live birth after bilateral adnexal resection for patients with recurrent borderline ovarian tumors
10.3760/cma.j.cn101441-20221214-00563
- VernacularTitle:复发性交界性卵巢肿瘤患者双附件切除后完成活产1例病例报道
- Author:
Yanli LIU
1
;
Junhan SHEN
;
Yihui KUANG
;
Jiaheng LI
;
Shanshan DU
;
Jing LI
;
Xiang GAO
;
Yichun GUAN
Author Information
1. 郑州大学第三附属医院生殖中心，郑州 450000
- Publication Type:Journal Article
- Keywords:
Ovarian Neoplasms;
Cryopreservation;
Fertility preservation;
Borderline ovarian tumors;
Embryo cryopreservation;
Ovarian tissue cryopreservation
- From:
Chinese Journal of Reproduction and Contraception
2023;43(2):158-163
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore surgical approaches to preserve fertility and assisted reproductive technology strategies for pregnancy in patients with recurrent borderline ovarian tumors.Methods:A case of recurrent borderline ovarian tumor was retrospectively analyzed. The patient was admitted several times and underwent right adnexectomy and cysts debulking in the left ovary for recurrent borderline tumors. The patient was infertile for 3 years without contraception. Considering the patient's strong desire for childbearing, ovulation treatment was performed with a microstimulation protocol. The left ovarian tumor enlarged significantly during the process of assisted reproductive technology for pregnancy assistance, left oophorectomy was carried by laparoscopic and healthy ovarian cortex was frozen to preserve fertility.Results:The patient underwent 5 times of controlled ovulation cycles, acquired 7 available embryos. The patient had a successful pregnancy and delivered a live baby on the third frozen embryo cycle transfer. The patient still had 2 embryos and 3 pieces of ovarian tissue frozen.Conclusion:Patients with borderline ovarian tumors who are young and have fertility needs can undergo fertility preserving surgery and assisted reproductive technology to help them get pregnant, which may lead to a higher risk of disease recurrence to a certain extent, but it does not affect the quality of patients' survival and allows the patient to achieve her fertility aspirations.
