CAJ | 학술논문

年轻的卵巢恶性肿瘤患者施行保留生育功能手术应限于早期且组织学类型较好者，如高、中分化上皮性肿瘤而非透明细胞瘤。术后一般不影响预后，且妊娠结局良好。而对中、晚期患者一般不推荐施行保留生育功能手术。卵巢交界性肿瘤患者年龄相对较轻，而且在诊断时多为Ⅰ期肿瘤，施行保留生育功能手术后妊娠成功率甚高。对卵巢交界性肿瘤患者甚至可行卵巢囊肿剥除术，其并不影响预后。生殖细胞肿瘤患者行保留生育功能手术的文献报道多为无性细胞瘤，手术成功率较高。而对晚期或其他类型生殖细胞肿瘤患者也有尝试保留生育功能手术，但这仅为个案报道，通常并不推荐施行保留生育功能手术，除非患者及家属有强烈意愿。对于施行保留生育功能手术的卵巢恶性肿瘤患者，由于具体情况不同，手术应因人而异行个体化治疗。
년경적란소악성종류환자시행보류생육공능수술응한우조기차조직학류형교호자，여고、중분화상피성종류이비투명세포류。술후일반불영향예후，차임신결국량호。이대중、만기환자일반불추천시행보류생육공능수술。란소교계성종류환자년령상대교경，이차재진단시다위Ⅰ기종류，시행보류생육공능수술후임신성공솔심고。대란소교계성종류환자심지가행란소낭종박제술，기병불영향예후。생식세포종류환자행보류생육공능수술적문헌보도다위무성세포류，수술성공솔교고。이대만기혹기타류형생식세포종류환자야유상시보류생육공능수술，단저부위개안보도，통상병불추천시행보류생육공능수술，제비환자급가속유강렬의원。대우시행보류생육공능수술적란소악성종류환자，유우구체정황불동，수술응인인이이행개체화치료。
Young patients with ovarian malignancies undergoing fertility-sparing surgery (FSS) should be limited to early stage (Ⅰa) with favorable histology, such as high or moderate differentiation, non-clear-cell histology. But for those with advanced stage or unfavorable histology, generally FSS is not recommended. In patients with borderline ovarian tumor, their age is relatively young and most with early stage, after FSS even with ovariocystectomy, the prognosis is not affected. Their fertility outcome is good. In patient with germ cell tumor deal with FSS, most literature reports are dysgerminoma. But for other types of germ cell tumors, or advanced stages, usually FSS is not recommended unless the patient and her family have a strong will. The patients undergoing FSS due to the specific situation is different, the operation should vary from person to person, and individualized.