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大学・研究所にある論文を検索できる 「Impact of an oral gonadotropin-releasing hormone antagonist on severe ovarian hyperstimulation syndrome in a patient with breast cancer who received a sustained-release gonadotropin-releasing hormone agonist : A case report.」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

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Impact of an oral gonadotropin-releasing hormone antagonist on severe ovarian hyperstimulation syndrome in a patient with breast cancer who received a sustained-release gonadotropin-releasing hormone agonist : A case report.

HANADA Tetsuro 0000-0001-8183-9702 KIMURA Fuminori 90322148 0000-0002-9840-4227 KITAZAWA Jun 30823900 MORIMUNE Aina 60757219 MURAKAMI Takashi 20240666 0000-0002-0250-0856 滋賀医科大学

2021.10.12

概要

Postoperative hormone therapy for hormone-sensitive patients with breast cancer is important to prevent a recurrence. As hormone therapy does not induce infertility in patients, fertility-preserving therapy is not provided during treatment. Here, however, we performed controlled ovarian stimulation and embryo freezing for fertility preservation under the influence of a sustained-release gonadotropin-releasing hormone agonist in a patient with breast cancer whose postoperative treatment plan was changed from hormone therapy to chemotherapy. After oocyte retrieval, the patient developed treatment-resistant severe symptomatic ovarian hyperstimulation syndrome. Following treatment with oral gonadotropin-releasing hormone antagonist, her symptoms immediately improved, and she could receive chemotherapy on schedule.

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Figure Legends

224

FIGURE 1. Details of the treatment after surgery and the controlled ovarian stimulation

225

(COS).

226

227

228

FIGURE 2. Serum estradiol (E2), progesterone (P4), follicular stimulation hormone

(FSH), luteinizing hormone (LH), and hCG levels during hospitalization.

229

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FIGURE 3. Urine and bilateral ovary volume during hospitalization. The ovarian

231

volume was calculated from the radius of the three axes, assuming the ovary to

232

be ellipsoidal (π = 3.14 was used).

hCG

10000 U

letrozole

letrozole

2.5 mg/day

tamoxifen

5.0 mg/day

cabergoline

0.5 mg/day

hMG

20 mg/day

Leuprorelin 22.5 mg

35 h

2 Weeks

leuprorelin day 1

13

COS day 1

breast

cancer

surgery

first

visit

20

22

24

27

31

10

12

15

19

OPU

outpatient

admission

12 oocytes

(pg/mL)

(mIU/mL)

700

25

655.3

600

641.1

E2

P4

LH

FSH

hCG

20.5

20

500

434.1

400

300

10

282.6

241.1

218.5

200

100

15

13.9

2.7

0.4

admission day 1

7.1

6.2

87.3

0.2

0.1

38.3

1.1

0.1

1.4

43.4

1.2

9.45

0.1

Ringer’s lactate solution 2,000 mL/day

Heparin sodium 10,000 IU/day

Dopamine hydrochloride 3 µg/kg/min

Relugolix 40 mg/day

Paracentesis

(mL/day)

(cm3)

7000

400

urine

rt. ov

6000

lt. ov

6200

333.4

300

300

5000

259.5

4000 222.4

250

244.9

200

186.5

3000

2860

134.1 2430

123.9 122.1

143.7

2000

350

101.3

1400

1000

4 days

outpatient

150

100

80.8

1400

50

790

330

admission day 1

Ringer’s lactate solution 2,000 mL/day

Heparin sodium 10,000 IU/day

Dopamine hydrochloride 3 µg/kg/min

Relugolix 40 mg/day

Paracentesis

...

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