臨床婦人科産科78巻9号

2024年09月発行

今月の臨床 ―外来担当医として知っておきたい―婦人科腫瘍の卵巣機能・妊孕性温存療法

卵巣腫瘍編

上皮性卵巣がんの妊孕性温存療法の適応と限界

著者： 新美薫¹

所属機関： ¹名古屋大学医学部産婦人科

ページ範囲：P.815 - P.821

文献概要

●日本における上皮性卵巣がんの妊孕性温存療法は，非明細胞癌G1/2でステージⅠA期または片側ⅠC1期，および明細胞癌ⅠA期に対しておおむね適応と判断されている．

●妊孕性温存療法後の妊娠率の低下や周産期リスクの上昇を明示する報告はない．

●妊孕性温存療法後の生殖補助医療により妊娠・出産に至った例は多く報告されている．しかし，囊腫摘出後の卵巣穿刺による腫瘍飛散リスクや卵巣組織凍結後の卵巣片の移植の安全性など，課題が残る．

参考文献

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