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文献概要
増刊号 ─知りたい最新情報がすぐわかる!─不妊・不育症診療パーフェクトガイド 1.悪性腫瘍の妊孕性温存治療
上皮性・非上皮性卵巣悪性腫瘍に対する妊孕性温存手術の適応と実施法
著者: 佐藤豊実1
所属機関: 1筑波大学医学医療系産科婦人科学
ページ範囲:P.23 - P.28
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◉IA期非明細胞腺癌高分化型(G1)/中分化型(G2),IA期明細胞腺癌と片側病変IC期非明細胞線癌G1/2には,妊孕性温存手術が選択できる.
◉上皮性境界悪性腫瘍では全病期に妊孕性温存治療が選択可能である.
◉胚細胞腫瘍でも全進行期で妊孕性温存治療が選択可能である.
◉エビデンスに乏しいが,顆粒膜細胞腫では妊孕性温存手術を選択できる可能性が高そうである.
◉IA期非明細胞腺癌高分化型(G1)/中分化型(G2),IA期明細胞腺癌と片側病変IC期非明細胞線癌G1/2には,妊孕性温存手術が選択できる.
◉上皮性境界悪性腫瘍では全病期に妊孕性温存治療が選択可能である.
◉胚細胞腫瘍でも全進行期で妊孕性温存治療が選択可能である.
◉エビデンスに乏しいが,顆粒膜細胞腫では妊孕性温存手術を選択できる可能性が高そうである.
参考文献
1)Satoh T, et al : Outcome of fertility-sparing surgery for stage I epithelial ovarian cancer : a proposal for patient selection. J Clin Oncol 28 : 1727─1732, 2010
2)Satoh T, et al : A non-randomized confirmatory study regarding selection of fertility-sparing surgery for patients with epithelial ovarian cancer : Japan Clinical Oncology Group Study JCOG1203. Jpn J Clin Oncol 45 : 595─599, 2015
3)Kajiyama H, et al : Recurrence-predicting prognostic factors for patients with early-stage epithelial ovarian cancer undergoing fertility-sparing surgery : a multi-institutional study. Eur J Obstet Gynecol Reprod Biol 175 : 97─102, 2014
4)Viganò R, et al : Surgery in advanced borderline tumors. Fertil Steril 94 : 1163─1165, 2010
5)Uzan C, et al : Outcome after cioncervative treatnment of advanced-stage serous borderline tumors of the ovary. Ann Oncol 21 : 55─60, 2010
6)Age-dependent differences in borderline ovarian tumours(BOT) regarding clinical characteristics and outcome : results from a subanalysis of the Arbeitsgemeinschaft Gynaekologische Onkologie(AGO) ROBOT Study. Ann Oncol 25 : 1320─1327, 2014
7)Chan JK, et al : The influence conservative surgical practices for malignant ovarian germ cell tumors. J Surg Oncol 98 : 111─116, 2008
8)Mangili G, et al : Outcome and risk factor for recurrence in malignant ovarian germ cell tumors. Int J Gynecol Cancer 21 : 1414─1421, 2011
9)Satoh T, et al : Administration of standard-dose BEP regimen(bleomycin+etoposide+cisplatin) is essential for treatment of ovarian yolk sac tumour. Eur J Cancer 51 : 340─351, 2015
10)Pectasides D, et al : Germ cell tumors of the ovary. Cancer Teart Rev 34 : 427─441, 2008
11)Donnez J, et al : Ovarian tissue cryopreservation and transplantation : a review. Human Reprod Update 12 : 519─535, 2006
12)Bryk S, et al : Clinical characteristics and survival of patients with an adult-type ovarian granulosa cell tumor. a 56-year single-center experience. Int J Gynecol Cancer 25 : 33─41, 2015
13)Chan JK, et al : Prognostic factors responsible for survival in sex cord stromal tumors of the ovary : a multivariate analysis. Gynecol Oncol 96 : 204─209, 2005
14)Sigismondi C, et al : Ovarian Sertoli-Leydig cell tumors. a retrospective MITO study. Gynecol Oncol 125 : 673─676, 2012
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