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Conclusion
Ethical Dilemmas on FSS decision are based on ...
Age of the patient (<40)
Years of Survival
Post Surgery and Chemotherapy – Ca survivors health condition Bilateral Oophorectomy increases the risk of CVD/CVA/osteoporosis Oocytes cryopreservation
Ovarian tissue cryopreservation
In cases with
Severe OTA – ART (spont. Cycles Vs ovulation induction) Concomitant health problems (Diabetes HBP etc)
References
Nam JH, Park JY. Fertility‐sparing surgery for young women with early‐stage epithelial ovarian cancer. Gynecol Obstet Invest 2013;76:14‐24.
Satoh T, Hatae M, Watanabe Y, Yaegashi N, Ishiko O, Kodama S, et al. Outcomes of fertility‐sparing surgery for stage I epithelial ovarian cancer: a proposal for patient selection. J Clin Oncol 2010;28:1727‐32.
Fruscio R, Corso S, Ceppi L, Garavaglia D, Garbi A, Floriani I, et al. Conservative management of early‐stage epithelial ovarian cancer: results of a large retrospective series. Ann Oncol 2013;24:138‐44.
National Cancer Institute (US). Joinpoint trend analysis software [Internet]. Bethesda, MD: National Cancer Institute; 2017 [cited 2017 Apr 17]. Available from: http://surveillance.cancer.gov/joinpoint.
Okamoto A, Glasspool RM, Mabuchi S, Matsumura N, Nomura H, Itamochi H, et al. Gynecologic Cancer InterGroup (GCIG) consensus review for clear cell carcinoma of the ovary. Int J Gynecol Cancer 2014;24:S20‐5.
Kajiyama H, Shibata K, Mizuno M, Hosono S, Kawai M, Nagasaka T, et al. Fertility‐sparing surgery in patients with clear‐cell carcinoma of the ovary: is it possible? Hum Reprod 2011;26:3297‐302.
Park JY, Suh DS, Kim JH, Kim YM, Kim YT, Nam JH. Outcomes of fertility‐sparing surgery among young women with FIGO stage I clear cell carcinoma of the ovary. Int J Gynaecol Obstet 2016;134:49‐52.
Nasioudis D, Chapman‐Davis E, Frey MK, Witkin SS, Holcomb K. Could fertility‐sparing surgery be considered for women with early stage ovarian clear cell carcinoma? J Gynecol Oncol 2017;28:e71.
Miyamoto M, Takano M, Goto T, Kato M, Sasaki N, Tsuda H, et al. Clear cell histology as a poor prognostic factor for advanced epithelial ovarian cancer: a single institutional case series through central pathologic review. J Gynecol Oncol 2013;24:37‐43.
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