title: Safe fertility-preserving management in gynecological malignancies.
abstract: OBJECTIVE
  To provide a review in the available literature about the safe fertility-preserving management in gynecological malignancies, focusing on the selection criteria of the patients, treatment options and follow-up.
  
  
  METHODS
  Literature survey.
  
  
  RESULTS
  The incidence of cancer in women who still want to get pregnant is increasing significantly. An early detection in gynecological malignancies allows less aggressive approaches to cure such disorders. A more conservative management, which preserves fertility, is considered safe and an option for those who have not completed their child-bearing.
  
  
  CONCLUSIONS
  Selected patients with cervical, endometrial and ovarian cancer may be candidates to a safe fertility-preserving management. A careful stage and follow-up of the patients is essential to achieve success with this practice.
authors.affiliation: Department of Gynecology and Obstetrics, Federal University of Minas Gerais, School of Medicine, Avenida Professor Alfredo Balena 190, Santa Efigênia, 30130-100 Belo Horizonte, MG, Brazil. agsilvaf@terra.com.br
authors.forename: Agnaldo L
authors.initials: AL
authors.lastname: Silva-Filho
authors.forename: Gabriel A L
authors.initials: GA
authors.lastname: Carmo
authors.forename: Guilherme R S
authors.initials: GR
authors.lastname: Athayde
authors.forename: Maurício E
authors.initials: ME
authors.lastname: Assis
authors.forename: Ralph C
authors.initials: RC
authors.lastname: Almeida
authors.forename: Rafael H S
authors.initials: RH
authors.lastname: Leal
authors.forename: Rívia M
authors.initials: RM
authors.lastname: Lamaita
authors.forename: João Lúcio
authors.initials: JL
authors.lastname: Santos-Júnior
authors.forename: João Gilberto
authors.initials: JG
authors.lastname: Castro e Silva
mesh_terms: D017024:Chemotherapy, Adjuvant; D005260:Female; D005833:Genital Neoplasms, Female / Q000150:complications* / Q000628:therapy*; D013509:Gynecologic Surgical Procedures; D006801:Humans; D007247:Infertility, Female / Q000209:etiology / Q000517:prevention & control*; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000517:prevention & control; D009367:Neoplasm Staging; D011247:Pregnancy; D018714:Radiotherapy, Adjuvant