Twins born after transplantation of ovarian cortical tissue and oocyte vitrification
Objective To present a combination of ovarian tissue and oocyte cryopreservation as an effective strategy for achieving pregnancy in a breast cancer patient. Design Case report. Setting Tertiary care university-affiliated hospital, tissue bank, and infertility clinic. Patient(s) A 36-year-old patien...
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| Veröffentlicht in: | Fertility and sterility 2010, Vol.93 (1), p.268.e11-268.e13 |
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| creator | Sánchez-Serrano, María, M.D Crespo, Juana, M.D Mirabet, Vicente, Ph.D Cobo, Ana C., Ph.D Escribá, María-José, Ph.D Simón, Carlos, M.D Pellicer, Antonio, M.D |
| description | Objective To present a combination of ovarian tissue and oocyte cryopreservation as an effective strategy for achieving pregnancy in a breast cancer patient. Design Case report. Setting Tertiary care university-affiliated hospital, tissue bank, and infertility clinic. Patient(s) A 36-year-old patient diagnosed with atypical medullar breast cancer and negative for estrogen, P, and HER2 receptors underwent ovarian tissue cryopreservation before receiving chemotherapy and radiotherapy. Intervention(s) Laparoscopic ovarian cortex extraction, ovarian tissue cryopreservation, ovarian tissue thawing and transplantation, controlled ovarian stimulation (COS), oocyte retrieval, vitrification and IVF, and embryo culture and replacement. Main Outcome Measure(s) Resumption of spontaneous ovarian function after transplantation, response to COS, oocyte vitrification, IVF, pregnancy, and delivery. Result(s) Menses occurred 63 days after transplantation. Sixteen mature oocytes were obtained in four COS procedures. All vitrified oocytes survived warming, and 77.7% were fertilized. Two day 3 embryos were replaced, and two healthy boys were born at 34 weeks. Conclusion(s) Ovarian tissue cryopreservation and grafting preserves fertility. Simultaneous oocyte vitrification increases the success of assisted reproductive technology in poor-prognosis patients and avoids the consequences of the short lifespan of the transplanted tissue. |
| doi_str_mv | 10.1016/j.fertnstert.2009.09.046 |
| format | Article |
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Design Case report. Setting Tertiary care university-affiliated hospital, tissue bank, and infertility clinic. Patient(s) A 36-year-old patient diagnosed with atypical medullar breast cancer and negative for estrogen, P, and HER2 receptors underwent ovarian tissue cryopreservation before receiving chemotherapy and radiotherapy. Intervention(s) Laparoscopic ovarian cortex extraction, ovarian tissue cryopreservation, ovarian tissue thawing and transplantation, controlled ovarian stimulation (COS), oocyte retrieval, vitrification and IVF, and embryo culture and replacement. Main Outcome Measure(s) Resumption of spontaneous ovarian function after transplantation, response to COS, oocyte vitrification, IVF, pregnancy, and delivery. Result(s) Menses occurred 63 days after transplantation. Sixteen mature oocytes were obtained in four COS procedures. All vitrified oocytes survived warming, and 77.7% were fertilized. Two day 3 embryos were replaced, and two healthy boys were born at 34 weeks. Conclusion(s) Ovarian tissue cryopreservation and grafting preserves fertility. Simultaneous oocyte vitrification increases the success of assisted reproductive technology in poor-prognosis patients and avoids the consequences of the short lifespan of the transplanted tissue.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/j.fertnstert.2009.09.046</identifier><identifier>PMID: 19880105</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Breast cancer ; Breast Neoplasms - physiopathology ; Breast Neoplasms - therapy ; Cryopreservation ; Embryo Culture Techniques ; Embryo Transfer ; Female ; Fertility ; fertility preservation ; Fertilization in Vitro ; Gestational Age ; Humans ; Infant, Newborn ; Internal Medicine ; Male ; Obstetrics and Gynecology ; Oocyte Retrieval ; oocyte vitrification ; Oocytes ; ovarian cortical transplantation ; Ovary - transplantation ; Ovulation Induction ; Pregnancy ; Treatment Outcome ; Twins</subject><ispartof>Fertility and sterility, 2010, Vol.93 (1), p.268.e11-268.e13</ispartof><rights>American Society for Reproductive Medicine</rights><rights>2010 American Society for Reproductive Medicine</rights><rights>Copyright 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c478t-860fda378f6de24cae4d7f3ce951ed053487fd7989fbd0f180fd1f5171206d2f3</citedby><cites>FETCH-LOGICAL-c478t-860fda378f6de24cae4d7f3ce951ed053487fd7989fbd0f180fd1f5171206d2f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.fertnstert.2009.09.046$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>315,781,785,3551,4025,27928,27929,27930,46000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19880105$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sánchez-Serrano, María, M.D</creatorcontrib><creatorcontrib>Crespo, Juana, M.D</creatorcontrib><creatorcontrib>Mirabet, Vicente, Ph.D</creatorcontrib><creatorcontrib>Cobo, Ana C., Ph.D</creatorcontrib><creatorcontrib>Escribá, María-José, Ph.D</creatorcontrib><creatorcontrib>Simón, Carlos, M.D</creatorcontrib><creatorcontrib>Pellicer, Antonio, M.D</creatorcontrib><title>Twins born after transplantation of ovarian cortical tissue and oocyte vitrification</title><title>Fertility and sterility</title><addtitle>Fertil Steril</addtitle><description>Objective To present a combination of ovarian tissue and oocyte cryopreservation as an effective strategy for achieving pregnancy in a breast cancer patient. Design Case report. Setting Tertiary care university-affiliated hospital, tissue bank, and infertility clinic. Patient(s) A 36-year-old patient diagnosed with atypical medullar breast cancer and negative for estrogen, P, and HER2 receptors underwent ovarian tissue cryopreservation before receiving chemotherapy and radiotherapy. Intervention(s) Laparoscopic ovarian cortex extraction, ovarian tissue cryopreservation, ovarian tissue thawing and transplantation, controlled ovarian stimulation (COS), oocyte retrieval, vitrification and IVF, and embryo culture and replacement. Main Outcome Measure(s) Resumption of spontaneous ovarian function after transplantation, response to COS, oocyte vitrification, IVF, pregnancy, and delivery. Result(s) Menses occurred 63 days after transplantation. Sixteen mature oocytes were obtained in four COS procedures. All vitrified oocytes survived warming, and 77.7% were fertilized. Two day 3 embryos were replaced, and two healthy boys were born at 34 weeks. Conclusion(s) Ovarian tissue cryopreservation and grafting preserves fertility. Simultaneous oocyte vitrification increases the success of assisted reproductive technology in poor-prognosis patients and avoids the consequences of the short lifespan of the transplanted tissue.</description><subject>Adult</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - physiopathology</subject><subject>Breast Neoplasms - therapy</subject><subject>Cryopreservation</subject><subject>Embryo Culture Techniques</subject><subject>Embryo Transfer</subject><subject>Female</subject><subject>Fertility</subject><subject>fertility preservation</subject><subject>Fertilization in Vitro</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Obstetrics and Gynecology</subject><subject>Oocyte Retrieval</subject><subject>oocyte vitrification</subject><subject>Oocytes</subject><subject>ovarian cortical transplantation</subject><subject>Ovary - transplantation</subject><subject>Ovulation Induction</subject><subject>Pregnancy</subject><subject>Treatment Outcome</subject><subject>Twins</subject><issn>0015-0282</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU2LHCEQhiUkZGc__kLwllNPyu7Wti-BZNl8wEIOmT2LoyU46dGJ2hPm36_NDCzktFDowfd9q3yKEMpgzYCJT7u1w1RCLvVctwDjeqlevCErxrlouODdW7ICYLyBVrZX5DrnHQAINrTvyRUbpQQGfEU2m38-ZLqNKVDtah4tSYd8mHQouvgYaHQ0HnXyOlATU_FGT7T4nGekOlgaozkVpEdfknf1cfHckndOTxnvLvcNefr2sLn_0Tz--v7z_stjY_pBlkYKcFZ3g3TCYtsbjb0dXGdw5Awt8K6Xg7PDKEe3teCYrHLmOBtYC8K2rrshH8-5hxT_zpiL2vtscKrDY5yzGrq-5VL0rCrlWWlSzDmhU4fk9zqdFAO1IFU79YJULUjVUr2o1g-XJvN2j_bFeGFYBV_PAqxfPXpMKhuPwaD1CU1RNvrXdPn8X4iZfFhg_8ET5l2cU6goFVO5VaB-L6tdNgsjdMMooHsGURWkLg</recordid><startdate>2010</startdate><enddate>2010</enddate><creator>Sánchez-Serrano, María, M.D</creator><creator>Crespo, Juana, M.D</creator><creator>Mirabet, Vicente, Ph.D</creator><creator>Cobo, Ana C., Ph.D</creator><creator>Escribá, María-José, Ph.D</creator><creator>Simón, Carlos, M.D</creator><creator>Pellicer, Antonio, M.D</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2010</creationdate><title>Twins born after transplantation of ovarian cortical tissue and oocyte vitrification</title><author>Sánchez-Serrano, María, M.D ; Crespo, Juana, M.D ; Mirabet, Vicente, Ph.D ; Cobo, Ana C., Ph.D ; Escribá, María-José, Ph.D ; Simón, Carlos, M.D ; Pellicer, Antonio, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c478t-860fda378f6de24cae4d7f3ce951ed053487fd7989fbd0f180fd1f5171206d2f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - physiopathology</topic><topic>Breast Neoplasms - therapy</topic><topic>Cryopreservation</topic><topic>Embryo Culture Techniques</topic><topic>Embryo Transfer</topic><topic>Female</topic><topic>Fertility</topic><topic>fertility preservation</topic><topic>Fertilization in Vitro</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Obstetrics and Gynecology</topic><topic>Oocyte Retrieval</topic><topic>oocyte vitrification</topic><topic>Oocytes</topic><topic>ovarian cortical transplantation</topic><topic>Ovary - transplantation</topic><topic>Ovulation Induction</topic><topic>Pregnancy</topic><topic>Treatment Outcome</topic><topic>Twins</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sánchez-Serrano, María, M.D</creatorcontrib><creatorcontrib>Crespo, Juana, M.D</creatorcontrib><creatorcontrib>Mirabet, Vicente, Ph.D</creatorcontrib><creatorcontrib>Cobo, Ana C., Ph.D</creatorcontrib><creatorcontrib>Escribá, María-José, Ph.D</creatorcontrib><creatorcontrib>Simón, Carlos, M.D</creatorcontrib><creatorcontrib>Pellicer, Antonio, M.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sánchez-Serrano, María, M.D</au><au>Crespo, Juana, M.D</au><au>Mirabet, Vicente, Ph.D</au><au>Cobo, Ana C., Ph.D</au><au>Escribá, María-José, Ph.D</au><au>Simón, Carlos, M.D</au><au>Pellicer, Antonio, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Twins born after transplantation of ovarian cortical tissue and oocyte vitrification</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>2010</date><risdate>2010</risdate><volume>93</volume><issue>1</issue><spage>268.e11</spage><epage>268.e13</epage><pages>268.e11-268.e13</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><abstract>Objective To present a combination of ovarian tissue and oocyte cryopreservation as an effective strategy for achieving pregnancy in a breast cancer patient. Design Case report. Setting Tertiary care university-affiliated hospital, tissue bank, and infertility clinic. Patient(s) A 36-year-old patient diagnosed with atypical medullar breast cancer and negative for estrogen, P, and HER2 receptors underwent ovarian tissue cryopreservation before receiving chemotherapy and radiotherapy. Intervention(s) Laparoscopic ovarian cortex extraction, ovarian tissue cryopreservation, ovarian tissue thawing and transplantation, controlled ovarian stimulation (COS), oocyte retrieval, vitrification and IVF, and embryo culture and replacement. Main Outcome Measure(s) Resumption of spontaneous ovarian function after transplantation, response to COS, oocyte vitrification, IVF, pregnancy, and delivery. Result(s) Menses occurred 63 days after transplantation. Sixteen mature oocytes were obtained in four COS procedures. All vitrified oocytes survived warming, and 77.7% were fertilized. Two day 3 embryos were replaced, and two healthy boys were born at 34 weeks. 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| source | MEDLINE; Access via ScienceDirect (Elsevier); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult Breast cancer Breast Neoplasms - physiopathology Breast Neoplasms - therapy Cryopreservation Embryo Culture Techniques Embryo Transfer Female Fertility fertility preservation Fertilization in Vitro Gestational Age Humans Infant, Newborn Internal Medicine Male Obstetrics and Gynecology Oocyte Retrieval oocyte vitrification Oocytes ovarian cortical transplantation Ovary - transplantation Ovulation Induction Pregnancy Treatment Outcome Twins |
| title | Twins born after transplantation of ovarian cortical tissue and oocyte vitrification |
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