Safe fertility-preserving management in gynecological malignancies.
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.
Silva-Filho
Agnaldo L
AL
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
Carmo
Gabriel A L
GA
Athayde
Guilherme R S
GR
Assis
Maurício E
ME
Almeida
Ralph C
RC
Leal
Rafael H S
RH
Lamaita
Rívia M
RM
Santos-Júnior
João Lúcio
JL
Castro e Silva
João Gilberto
JG
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