The reproductive prognosis of women considering fertility preservation for early stage endometrial cancer
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The recent survey by La Russa et al. , despite low participation, gives an interesting overview of the attitude of European gynaecological oncologists towards conservative management of early endometrial cancer (CM) in young women. The study is very timely and, although it cannot scientifically legitimate the routine use of CM more than what is already known, it suggests that oncologists are concerned with the fertility wish of women with early endometrial cancer.
The findings of the survey give insights about what would be recommended (i.e., medical/surgical treatment and referral to assisted reproduction), though less is unfortunately revealed about who would eventually be offered CM. Statistics about pregnancy rates after CM by progestins, with or without hysteroscopic resection, largely ground on observational retrospective data , hence care should be adopted when interpreting and extrapolating published success rate figures. Therefore, clinicians may need to...
KeywordsAssisted reproductive technologies Endometrial cancer Fertility preservation Hysteroscopy Infertility Progestins
PG: conceptualization and manuscript writing.
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Conflict of interest
The author reports no conflict of interest.
Human or animal rights
This article does not contain any studies involving human participants or animals.
- 1.La Russa M, Zapardiel I, Halaska MJ, Zalewski K, Laky R, Dursun P, Lindquist D, Sukhin V, Polterauer S, Biliatis I (2018) Conservative management of endometrial cancer: a survey amongst European clinicians. Arch Gynecol Obstet 298(2):373–380. https://doi.org/10.1007/s00404-018-4820-7 CrossRefPubMedGoogle Scholar