BACKGROUND Fertility-sparing surgery for patients with borderline ovarian tumors (BOTs) is still controversial. This study aimed to evaluate the oncological safety and fertility benefits in conservative surgery,as well as efficiency of surgical procedures and approaches. RESULTS In total 122 patients with BOTs, four types of fertility-sparing surgery were performed: unilateral adnexectomy (UA...

BACKGROUND Uterine Tumors Resembling Ovarian Sex Cord Tumors (UTROSCT) are rare tumors of low malignancy. In the past, these tumors were mainly treated by hysterectomy. More recently, some authors have proposed conservative surgical management for women wishing to preserve fertility. This article is the first to report on organ-preserving treatment in the case of recurrence or disease persisten...

background: gestational trophoblastic neoplasia (gtn) is a curable disease thatinvolves the development of malignant tumor in the woman after a normal or molarpregnancy. the position of surgery in gtn is not properly specified and is changingdue to new chemotherapy protocols. however, the role of surgery is highlighted inchemotherapy-resistant gtn. other indications of surgery in trophoblastic ...

•Perivascular epithelioid cell tumors (PEComas) are a family of rare, poorly defined mesenchymal tumors of uncertain malignant potential.•Treatment for PEComas has most commonly involved excisional biopsy or surgical resection.•The use of mTOR inhibitors may provide the best medical treatment as well as a fertility-sparing treatment option.

Intrascrotal fibrous pseudotumors are benign entity with only a handful of cases reported so far. Although histologically grouped under benign, they often clinically mimics as intrascrotal malignancy. Imaging studies and histopathological examination are of paramount importance in establishing the true nature of this disease. Because these tumors are benign, instead of radical orchiectomy, test...

Ovarian dysgerminoma is a rare malignancy of the ovary. This is a case report of a 30-year-old female, presenting with a huge ovarian mass along with multiple gallstones; she was treated by fertility-sparing excision of the mass and cholecystectomy, followed by chemotherapy. She later had an uneventful pregnancy and delivered a healthy baby.

Background: The typical treatment of the International Federation Gynecology and Obstetrics 2018 stage IB2 cervical cancer is radical hysterectomy. With trend delayed childbearing, importance fertility sparing in women with has drawn attention. Case: We report a case treated by neoadjuvant chemotherapy quick cisplatin-VP 16 followed robotic trachelectomy. Conclusions: Neoadjuvant (NACT) using p...

Nowadays cervical cancer is diagnosed in many women who still want to have children. This led to the need to provide fertility-sparing treatments. The main goal is to maintain reproductive ability without decreasing overall and recurrence-free survival. In this article, we review data on procedures for fertility preservation, namely, vaginal and abdominal trachelectomy, less invasive surgery an...

Incidence of borderline ovarian tumours (BOTs) ranges from 10-15% of all ovarian tumours. They affect a younger age group than the ovarian carcinoma and have a much better prognosis. Over the last decades, the management of borderline ovarian tumors has changed from radical surgery to more fertility oriented therapy. Fertility-sparing surgery is defined as surgery with complete staging, but whe...

Radical trachelectomy is a promising fertility-sparing treatment for patients with early stage cervical cancer who want to preserve their fertility. However, isthmic stenosis occurs frequently in patients who received radical trachelectomy and it is one of the causes of infertility following radical trachelectomy. Moreover, despite the treatment for recanalization of isthmic stenosis, recanaliz...