Effect of ovarian dermoid cyst excision on ovarian reserve and response: Insights from in vitro fertilization

Yan, Lei; Li, Miao; Zhang, Bing-Qian; Xu, Xinxin; Xu, Zhen; Han, Ting; Chen, Zi‐Jiang

doi:10.1016/j.gmit.2016.01.005

Cited by 7 publications

(11 citation statements)

References 13 publications

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“…The present results are comparable with the findings in a large cohort reported by Yan et al., who found no difference in the mean number of retrieved oocytes, embryos transferred, or total dose of gonadotropins used between women with a surgically excised DC and those with an intact DC. Yan et al.…”

Section: Discussionsupporting

confidence: 93%

“…Similarly, no differences were found in these outcomes in the sub‐analysis of women with surgical resection of the DC before ART therapy and those with an intact DC after adjusting for multiple cofounders (all P <0.05). The present results are comparable with previously published data …”

Section: Discussionsupporting

confidence: 93%

“…Few studies have evaluated ART treatment outcomes among women diagnosed with an ovarian DC. Based solely on basal antral follicle count (AFC) measurements, Yan et al . reported that DC excision may significantly reduce ovarian reserve; by contrast, Kim Yi et al .…”

Section: Introductionmentioning

confidence: 99%

“…showed that anti‐Mϋllerian hormone (AMH) levels were similar for women before surgical excision of an ovarian DC and a control population matched for age and body mass index (BMI). Other studies have shown that ovarian response to controlled ovarian stimulation during IVF is not significantly affected by the presence of a DC . Nevertheless, in a modern IVF setting, the optimal treatment for women with a DC requires additional research with greater statistical power to understand whether the presence of the DC compromises ovarian response and cycle outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Conservative treatment versus surgical excision of ovarian dermoid cysts: Impact on ovarian stimulation and IVF cycle success

Hernández-Nieto

Lee

Gonzalez

et al. 2019

Intl J Gynecology & Obste

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Objective:To analyze outcomes of IVF treatment among women diagnosed with an ovarian dermoid cyst (DC).Methods: Retrospective analysis of women with an ovarian DC who underwent IVF with fresh blastocyst transfer at a single center in New York from January 2010 to March 2018. Outcomes were compared between women with conservative treatment and those with surgical excision of the DC. Multivariate logistic regression was used to assess associations between variables and the presence of a DC during treatment. Results:Overall, 119 women with a DC were included. No differences were found in demographic characteristics, controlled ovarian hyperstimulation parameters, and IVF outcomes between women with an intact DC (n=65, 54.6%) and those who underwent cystectomy (n=54, 45.4%) (all P<0.05). Similarly, there was no difference in anti-Mϋllerian hormone and basal antral follicle count among women with a DC (respectively, β=−0.1, P=0.8, and β=−1.0, P=0.28) or resected DC (respectively, β=0.9, P=0.07, and β=1.5, P=0.08) as compared with control women with no DC (n=352). Conclusion:Ovarian reserve, embryo implantation and IVF success rates were not lower in the presence of an ovarian DC. Surgical therapy, if indicated, can be safely postponed until family planning goals have been achieved. K E Y W O R D S

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Conservative treatment versus surgical excision of ovarian dermoid cysts: Impact on ovarian stimulation and IVF cycle success

Hernández-Nieto

Lee

Gonzalez

et al. 2019

Intl J Gynecology & Obste

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“…A wider margin of incidence, of about 0.5 to 6.3% for ovarian tumors, is related by Solango-Gallego and Masserdotti (2). Despite the uncertain information about dermoid ovarian cyst incidence in dogs, the human medical literature, according to Yan et al (11), reports a higher presentation of the dermoid cysts or mature teratogenic neoplasms, representing a 20% of all the ovarian tumors in women with reproductive maturity. Thus, the limited material of the veterinarian literature supports the relevance for this nature of neoplasm report.…”

Section: Discussionmentioning

confidence: 99%

Neoplasia ovariana teratogénica en canino

Alves

Bianchi²,

Calabrez³

et al. 2018

Rev MVZ Córdoba

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Teratomas are germ cell neoplasms originated from the ectoderm, mesoderm or endoderm. The dermoid cyst or mature cystic ovarian teratoma is a rare tumor in female-canine, which can cause serious damage to the fertility and health of animals. The present case reports an ovarian cyst as an intraoperative finding in a 5-year-old German Shepherd female dog. The patient presented purulent vaginal discharge during three weeks approximately. The clinical signs associated to ultrasound exam enabled confirming the diagnosis of pyometra, referring the patient to surgical treatment, by performing ovariohysterectomy. After exeresis of ovaries and uterus and at macroscopic inspection were perceived size and coloration abnormalities of the left ovary, finding, after incision, its interior filled by bristles and sebaceous material. The specimen was forwarded to histopathological analysis, confirming the diagnosis of dermoid ovarian cyst. It concludes that the lack of specificity of the primary signs hinds the clinical diagnosis, contributing to incidental findings of this alteration on abdominal surgeries and that the ovariohysterectomy is an effective treatment to this condition. Keywords:Ovarian cyst, teratoma, ovary, germ cells (Source: DeCS). RESUMENLos teratomas son neoplasias de células germinales originadas en el ectodermo, mesodermo o endodermo. El quiste dermoide o teratoma ovárico maduro quístico es un tumor raro en caninos que puede causar serios daños en la fertilidad y salud del animal. El presente caso reporta un quiste ovárico encontrado durante el acto quirúrgico, en un canino hembra pastor alemán de 5 años de edad. La paciente presentaba descargas vaginales desde hace aproximadamente tres semanas. Los signos clínicos asociados a examen ultrasónico permitieron confirmar el diagnóstico de piometra y el paciente fue remitido a tratamiento quirúrgico para realización de ovariohisterectomia. Después de la retirada de los ovarios y útero, fueron percibidas anomalías en tamaño y coloración del ovario izquierdo durante revisión macroscópica, encontrándose a la incisión contenido de pelos y material sebáceo. El espécimen fue enviado para análisis histopatológico, siendo confirmado el diagnóstico de quiste dermoide ovárico. En conclusión, la falta de especificidad de los signos primarios hace difícil el diagnóstico clínico, contribuyendo a que esta alteración sea encontrada incidentalmente durante cirugías abdominales siendo la ovariohisterectomia un tratamiento efectivo para esta condición.

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Heterotopic pregnancy after in vitro fertilization in a patient with distal tubal hypoplasia

Chen

2017

Gynecology and Minimally Invasive Therapy

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Effect of ovarian dermoid cyst excision on ovarian reserve and response: Insights from in vitro fertilization

Cited by 7 publications

References 13 publications

Conservative treatment versus surgical excision of ovarian dermoid cysts: Impact on ovarian stimulation and IVF cycle success

Conservative treatment versus surgical excision of ovarian dermoid cysts: Impact on ovarian stimulation and IVF cycle success

Neoplasia ovariana teratogénica en canino

Heterotopic pregnancy after in vitro fertilization in a patient with distal tubal hypoplasia

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