Full-term newborn after repeated ovarian tissue transplants in a patient treated for Ewing sarcoma by sterilizing pelvic irradiation and chemotherapy

© 2014 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG)..

We report the first successful transplantation of cryopreserved ovarian cortical tissue into heavily irradiated tissues in a patient who had received sterilizing pelvic radiotherapy (54 Gy) and 40 weeks of intensive high-dose chemotherapy for the treatment of Ewing's sarcoma 14 years earlier. Repeated transplantation procedures were required to obtain fully functional follicular development. Enlargement of the transplants over time and increase of the size of the uterus were demonstrated on sequential ultrasonographic examinations. Eggs of good quality that could be fertilized in vitro were obtained only after a substantial incremental increase of the amount of ovarian tissue transplanted. Single embryo replacement resulted in a normal pregnancy and the birth of a healthy child by cesarean section at full-term. No neonatal or maternal postoperative complications occurred. Women facing high-dose pelvic radiotherapy should not be systematically excluded from fertility preservation options, as is currently the trend.

Medienart:

E-Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:94

Enthalten in:

Acta obstetricia et gynecologica Scandinavica - 94(2015), 3 vom: 06. März, Seite 324-8

Sprache:

Englisch

Beteiligte Personen:

Rodriguez-Wallberg, Kenny A [VerfasserIn]
Karlström, Per-Olof [VerfasserIn]
Rezapour, Masoumeh [VerfasserIn]
Castellanos, Enrique [VerfasserIn]
Hreinsson, Julius [VerfasserIn]
Rasmussen, Carsten [VerfasserIn]
Sheikhi, Mona [VerfasserIn]
Ouvrier, Bettina [VerfasserIn]
Bozóky, Béla [VerfasserIn]
Olofsson, Jan I [VerfasserIn]
Lundqvist, Monalill [VerfasserIn]
Hovatta, Outi [VerfasserIn]

Links:

Volltext

Themen:

Cancer
Case Reports
Chemotherapy
Fertility preservation
Iatrogenic ovarian failure
Journal Article
Live birth
Ovarian tissue cryopreservation
Ovarian transplantation
Pregnancy
Research Support, Non-U.S. Gov't
Survivorship
Uterine irradiation

Anmerkungen:

Date Completed 15.04.2015

Date Revised 13.11.2018

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/aogs.12568

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM244928126