MEDICINA DELLA RIPRODUZIONE 

Minerva Ginecologica 2014 October;66(5):421-30

Copyright © 2014 EDIZIONI MINERVA MEDICA

lingua: Inglese

Surgical strategies of fertility preservation in female cancers

Grynberg M. ^{1, 2, 3}, Frydman R. ⁴ ✉

¹ Service de Médecine de la Reproduction, Hôpital Jean‑Verdier, Bondy, France; ² Université Paris XIII, Bobigny, France; ³ Unité Inserm U1133, Université Paris‑Diderot, Paris, France; ⁴ Service de Gynécologie‑Obstétrique, Hôpital Foch, Suresnes, France

Conservative and functional surgery is increasingly used in surgical oncology. Although radical surgery remains the gold standard for treatment of cervical, endometrial and ovarian cancers, conservative approaches have been developed, aiming at preserving the potential of fertility of young patients. These procedures are proposed to selected patients, depending on histological parameters and prognostic factors as well. Therefore, a multidisciplinary approach is mandatory to weight the benefits and risks of fertility-sparing surgery.