Journal of International Obstetrics and Gynecology ›› 2022, Vol. 49 ›› Issue (2): 196-201.doi: 10.12280/gjfckx.20210573

• Research on Gynecological Malignancies:Review • Previous Articles     Next Articles

Research Progress of Common Gynecological Malignant Tumors to Preserve Fertility

LI Cheng-yao, LI Pu()   

  1. Tianjin Medical University, Tianjin 300070, China(LI Cheng-yao); Tianjin Central Hospital of Gynecology Obstetrics, Tianjin 300052, China (LI Pu
  • Received:2021-06-18 Published:2022-04-15 Online:2022-05-09
  • Contact: LI Pu E-mail:2326791@qq.com

Abstract:

Common malignant tumors in gynecology include cervical cancer, endometrial cancer and ovarian cancer. Although many advances have been made in treatment, conventional treatments mostly involve hysterectomy. For women who still need pregnancy, it is necessary to meet the patient′s fertility needs to the greatest extent under the premise of ensuring safety. There have been many researches on preserving fertility, and more new methods have emerged, and disease assessment has become more and more perfect. Cervical conization, simple trachelectomy and radical trachelectomy can be selected for early cervical cancer. Fertility-sparing treatment for endometrial cancer isn′t the standard treatment, and hormone therapy or combined with hysteroscopic lesion resection can be given under strict selection. Early low-risk patients with ovarian cancer can choose to preserve the fertility of the affected side appendage resection or tumor rejection. This article intends to summarize and analyze the indications, treatment methods, treatment effects, and existing problems of common gynecological malignant tumors with fertility preservation treatment, hoping to provide ideas and help for clinical treatment.

Key words: Fertility preservation, Uterine cervical neoplasms, Endometrial neoplasms, Ovarian neoplasms, Prognosis