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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2012, Number 4

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An Med Asoc Med Hosp ABC 2012; 57 (4)

Bilateral teratoma and fertility preservation

Steta-Mondragón JR, Valero OPA, Deschamps-Díaz H, Álvarez-Valero R

Language: Spanish
References: 21
Page: 325-331
PDF size: 1143.70 Kb.


ABSTRACT

Germinal tumors represent between 15 to 30% of all ovary tumors. Histologically, they consist of tissues from three embryo layers, predominantly, from the ectodermic layer. The size of the tumor may vary between 0.5 cm to 40 cm in diameter, from which 95% are benign, and 7% to 25% are bilateral. In order to differentiate between the tumors, the diagnosis should be made by using tumor markers and different radiological techniques. Prior, to a diagnosis, a study of which type of surgery should be employed, which is vital for the future of the patient, because it can put in jeopardy the patient fertility due to the fact that the majority of cases appear during the patient reproductive period. A clinical case is presented of a young nulliparous woman with a diagnosis of bilateral teratoma. The kind of surgery and the technique used was with the purpose of preserving as much of the healthy ovarian tissue as possible. It is very important to rise the awareness of the medical staff about the ovary preservation by using specialized surgical techniques that will have an impact in the reproductive future of patients, as well in their quality of life. In extreme cases, cryopreservation methods may be used for the ovary tissue utilizing the established protocols, to achieve this very important tissue preservation.


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