Heterotopic transplant of ovarian peel in young woman with womb cancer

  • Francisco Cóppola Universidad de la República, Facultad de Medicina, Clínica Ginecotocológica "C", Prof. Adj. Endocrinología., Ex asistente. Sociedad de Endocrinología Ginecológica del Uruguay, Presidente
  • Jorge Martínez Universidad de la República, Facultad de Medicina, Clínica Ginecotocológica "C", Prof. Agdo. Encargado de Ginecología de Clínica Ginecotocológica "C"
  • Álvaro Domínguez Universidad de la República, Facultad de Medicina, Clínica Ginecotocológica "C", Ex Asistente. Ginecólogo especialista en Reproducción Humana
  • Héctor Pérez Campos Uruguay. Ministerio de Salud Pública, Banco Nacional de Órganos y Tejidos, Área criopreservados, Médico coordinador
  • Elías Regules Universidad de la República, Facultad de Medicina, Departamento de Anatomía Normal, Prof. Agdo. Clínica Ginecotocológica "C", Ex Asistente
  • Fernanda Nozar Universidad de la República, Facultad de Medicina, Clínica Ginecotocológica "C", Residente
  • Sara Parada Centro Hospitalario Pereira Rossell, Unidad de Ecografía Ginecológica, Médico ecografista
  • Rafael Aguirre Universidad de la República, Facultad de Medicina, Clínica Ginecotocológica "C", Ex Asistente
Keywords: NEOPLASMS OF THE UTERINE NECK, HETEROTOPIC TRANSPLANTATION

Abstract

Prognosis and cure rates of cervical cancer have increased during the last years due to early diagnosis and improved treatment. However, early diagnosis implies that a greater number of young women carriers of this disease are exposed to a iatrogenic affection of the wombs, as a consequence of cancer treatment. Preservation of ovarian endocrine function aims to prevent consequences of premature menopause and potential risks of hormonal replacement therapy. The purpose of this paper is to show the results of an auto-transplant of ovarian tissue to a heterotopic site (biceps).
A 33-year-old woman with a stage 1B cervical cancer underwent a surgery. One ovary was transferred to an extra-pelvic site and the other was auto-transplanted to the arm to prevent it from radiotherapy exposure. Post-surgical follow up showed a constant level of sexual steroids and fast revascularization of transplanted fragments at a biceps level. This procedure is seen as an adequate option to preserve endocrine function in young women with cervical cancer.

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Published
2005-12-30
How to Cite
1.
Cóppola F, Martínez J, Domínguez Álvaro, Pérez Campos H, Regules E, Nozar F, Parada S, Aguirre R. Heterotopic transplant of ovarian peel in young woman with womb cancer. Rev. Méd. Urug. [Internet]. 2005Dec.30 [cited 2024Nov.29];21(4):327-32. Available from: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/798
Issue
Vol 21 No 4 (2005): Revista Médica del Uruguay
Section
Clinical Cases
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