Abstract
Purpose
To report the successful extracorporeal recovery of mature oocytes after laparoscopic oophorectomy following ovarian hyperstimulation for the purpose of fertility preservation in a patient with recurrent serous borderline ovarian tumor.
Methods
A 25-year-old nulligravida woman presented with recurrence of a borderline serous adenocarcinoma in the right ovary after been treated conservatively with left oophorectomy for the same.
Result(s)
The patient underwent ovarian stimulation followed by a laparoscopic oophorectomy and ex-vivo retrieval of oocytes. Twenty two oocytes were recovered: fourteen metaphases II, two metaphases I, five prophases I and one degenerate.
Conclusion(s)
Mature oocytes were successfully retrieved ex-vivo from the hyperstimulated ovary recovered via laparoscopy. The procedure can be performed in a quick manner, with standard equipment, without damaging the ovary, the follicles or the oocytes, and without the risk of cancer cell spillage associated with the standard transvaginal oocyte retrieval if there is concern of ovarian surface/peritoneal metastatic disease.
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Acknowledgements
The authors would like to thank Mrs. Valerie Warsof, RN for her dedication to the patient’s care as well as to Ms. Carnai Simpson for reviewing the manuscript.
Disclosures
Dr S. Bocca is a speaker for Merck (Schering-Plough). Other authors have no disclosures.
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We report on extracorporeal oocyte retrieval after laparoscopic oophorectomy following ovarian hyperstimulation for fertility preservation in a young woman with a borderline serous ovarian tumor.
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Bocca, S., Dedmond, D., Jones, E. et al. Successful extracorporeal mature oocyte harvesting after laparoscopic oophorectomy following controlled ovarian hyperstimulation for the purpose of fertility preservation in a patient with borderline ovarian tumor. J Assist Reprod Genet 28, 771–772 (2011). https://doi.org/10.1007/s10815-011-9596-7
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DOI: https://doi.org/10.1007/s10815-011-9596-7