{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T10:48:35Z","timestamp":1761562115538,"version":"3.37.3"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,12,2]],"date-time":"2016-12-02T00:00:00Z","timestamp":1480636800000},"content-version":"vor","delay-in-days":92,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"name":"Key Clinical Specialty Discipline Construction Program of Fujian, China","award":["2012149"],"award-info":[{"award-number":["2012149"]}]}],"content-domain":{"domain":["ijgo.org","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the ability to conceive and the factors affecting chances of pregnancy among patients with borderline ovarian tumors (BOTs) treated with fertility\u2010sparing surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study included nulliparous patients aged 40 years or younger who had undergone fertility\u2010sparing surgery for BOTs between January 2005 and June 2012 at a center in Fuzhou, China. Identified patients were followed up by telephone or mail between March 15 and June 30, 2013. Patients who had already been pregnant and those who had not but had discontinued contraception for more than 1 year were included in final analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 23 included patients, 17 (74%) had become pregnant within the mean follow\u2010up period of 48.2 months. The frequencies of previous infertility, sequelae of pelvic inflammatory disease, and endometriosis were all higher in the nonpregnant group than in the pregnant group (<jats:italic>P<\/jats:italic> \u2264 0.021 for all). More women in the nonpregnant group that in the pregnant group had BOTs of stage II or worse, but the difference was nonsignificant (<jats:italic>P<\/jats:italic> = 0.059).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Fertility\u2010sparing surgery in young patients with BOTs is associated with a good pregnancy rate. However, the tumor stage and coexisting infertility factors are important considerations in selecting the optimal surgical approach.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2016.03.018","type":"journal-article","created":{"date-parts":[[2016,6,3]],"date-time":"2016-06-03T18:11:05Z","timestamp":1464977465000},"page":"282-285","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Pregnancy after fertility\u2010sparing surgery for borderline ovarian tumors"],"prefix":"10.1002","volume":"134","author":[{"given":"Chengying","family":"Lian","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiujuan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yihua","family":"Ni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaochen","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan","family":"Lin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,12,2]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"204","article-title":"Malignant and semimalignant tumors of the ovary","volume":"48","author":"Taylor H.C.","year":"1929","journal-title":"Surg Gynecol Obstet"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.18088\/ejbmr.2.1.2016.pp32-35"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.20080"},{"issue":"5","key":"e_1_2_6_5_2","first-page":"471","article-title":"Diagnosis and treatment of borderline ovarian neoplasms \u201cthe state of the art\u201d","volume":"30","author":"Trope C.","year":"2009","journal-title":"Eur J Gynaecol Oncol"},{"issue":"5","key":"e_1_2_6_6_2","first-page":"1701","article-title":"Clinical management of borderline tumours of the ovary \u2010 experience from the \u201cBerlin online tumour conference for gynaecological malignancies\u201d","volume":"30","author":"Sehouli J.","year":"2010","journal-title":"Anticancer Res"},{"issue":"2","key":"e_1_2_6_7_2","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1093\/humrep\/del381","article-title":"Comparison of two fertility\u2010sparing approaches for bilateral borderline ovarian tumours: a randomized controlled study","volume":"22","author":"Palomba S.","year":"2007","journal-title":"Hum Reprod"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2002.01359.x"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2005.03.010"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2001.19.10.2658"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2004.10.009"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dms047"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dmg006"},{"issue":"1","key":"e_1_2_6_14_2","first-page":"123","article-title":"Clinical characteristics of borderline ovarian tumors and stage I epithelial ovarian cancer: an analysis of 143 cases [in Chinese]","volume":"43","author":"Zhao Y.","year":"2011","journal-title":"Beijing Da Xue Xue Bao"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/deq159"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-58564-7"},{"issue":"2","key":"e_1_2_6_17_2","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/S0020-7292(00)90001-8","article-title":"FIGO staging classifications and clinical practice guidelines in the management of gynecologic cancers. 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