MUSTAFA KAPLANOĞLU, Hakan KIRAN, M. Turan ÇETİN

İleri evre borderline over tümörünün konservatif cerrahisi sonrası başarılı IVF gebeliği: Vaka sunumu

Amaç: Borderline over tümörleri, çoğunlukla üreme çağı kadınlarında saptanmaktadır. Bu nedenle fertilite koruyucu tedavi bu hastalarda düşünülmelidir. Konservatif tedavi edilen hastaların çoğunda spontan gebelik elde edilebilir. Persiste eden infertil vakalarında ovulasyon indüksiyonu ve in vitro fertilizasyon uygulamaları önerilebilir. Olgu sunumu: Sunulan vakamız 24 yaşında, evre 3c seröz borderline over tümörü idi. Hastaya konservatif cerrahi tedavi yapıldı ve cerrahi sonrası adjuvan kemoterapi uygulanmadı. Cerrahi sonrası 2 yıl içerisinde spontan gebelik elde edilememesi nedeni ile hastaya IVF tedavisi önerildi. Şu anda, problemsiz 24 haftalık gebeliği bulunmaktadır. Sonuç: Konservatif tedavi, borderline over tümörü olan hastalarda bir tedavi seçeneği olarak durmaktadır. Tedavi sonrası gebelik spontan veya in vitro fertilizasyon uygulaması vasıtasıyla elde edilebilir. Fakat dikkatli izlem gereklidir.

Successful IVF pregnancy following conservative surgery of advanced stage borderline ovarian tumor: A case report

Objective: Borderline tumor of the ovary is commonly described in reproductive age women. Therefore, fertility preserving treatments should be considered in these patients. The most of patients treated conservatively is obtained spontaneous pregnancy. In case of persistent infertility, ovulation induction and in vitro fertilization procedures could be proposed. Case report: We present case of 24 years old women with affected stage 3c serous borderline ovarian tumor. She underwent conservative debunking surgery without surgery followed by adjuvant chemotherapy. IVF procedure was planned because of women did not obtain pregnancy after 2 years postsurgery. Now, she have pregnancy of 24 gestational age and women have not problem of pregnancy. Conclusion: Conservative treatment remains a therapeutic option in patient with borderline ovarian tumor. After the treatment, pregnancy could be obtained by spontaneous or in vitro fertilization procedure. But careful follow up is essential.

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