ABSTRACT
O diagnóstico do câncer ginecológico ocorre em pacientes cada vez mais jovens e em estadios mais precoces. Muitas dessas pacientes se encontram em idade fértil e desejam prole. A detecção mais precoce e a maior efetividade do tratamento têm propiciado, em casos selecionados, a conservação da fertilidade nesse grupo de paciente, sem prejuízo na cura oncológica. Foi realizada uma revisão da literatura com artigos entre 2004 e 2011, dos quais foram selecionados os mais relevantes. Revisamos as principais opções de preservação da fertilidade no tratamento do câncer ginecológico, abrangendo os tumores do colo uterino, do ovário e do endométrio
The diagnosis of gynecological cancer is increasingly occurring in younger patients and in earlier stages. Many of these patients are fertile and wish to become pregnant. The earlier detection and more effective treatment have allowed the preservation of fertility without prejudice to cure cancer, in selected cases. We conducted a literature review of articles between 2004 and 2011, which we selected the most relevant. We reviewed the main options for fertility preservation in the treatment of gynecological cancers including tumors of the cervix, ovary and endometrium
Subject(s)
Humans , Female , Young Adult , Early Detection of Cancer , Fertility Preservation , Infertility/prevention & control , Genital Neoplasms, Female/diagnosis , Genital Neoplasms, Female/therapy , Patient Acceptance of Health Care , Organ Sparing Treatments , Quality of Life , Survival AnalysisABSTRACT
Objective To compare and observe the clinical effects between abdominoscope conservative surgical management and laparotomy conservative surgical management for tubal pregnancy.Methods From January 2007 to January 2008,112 cases of tubal pregnancy patients were randomly classified into two groups,which abdominoscope surgery with 67 cases and abdominal surgery with 45 cases.Results The operation time,body temperaturerecovery time and anus start deflation time in abdominoscope surgery group were significantly shorter than those in abdominal surgery group(P ＜ 0.05).The tubal patency rates and 1 year conception rates in abdominoscope surgery group were significantly higher than those in abdominal surgery group(P ＜ 0.05).Conclusion Abdominoscope conservative surgical management treated tubal pregnancy is the best choice for those with breed requirement,which insult is small,bleeding amount is few,length of stay is short and recovery is quick.