Successful pregnancy after fertility-preserving surgery for endometrial stromal sarcoma
Received 12 June 2009; received in revised form 19 August 2009; accepted 8 September 2009. published online 02 November 2009.
Objective
To report a case of successful pregnancy after treatment for endometrial stromal sarcoma.
Design
Case report.
Setting
Gynecology department at a provincial hospital affiliated with a university.
Patient(s)
A 25-year-old woman (gravida 0, para 0) with a misdiagnosis of myoma who received a pathologic diagnosis of endometrial stromal sarcoma after the first surgery.
Intervention(s)
Second fertility-preserving surgery and chemotherapy.
Main Outcome Measure(s)
Successful pregnancy and follow-up visit.
Result(s)
After the conservative treatment, the patient entered complete remission. She conceived naturally and delivered at 39 weeks' gestation by caesarean section approximately 40 months after the surgery.
Conclusion(s)
Endometrial stromal sarcoma is a rare uterine tumor with a poor prognosis. This case shows that successful pregnancy is possible after effective conservative treatment by local surgical resection and adjunct chemotherapy.
Department of Obstetrics and Gynecology, Provincial Hospital affiliated to Shandong University, Jinan, People's Republic of China
Reprint requests: Xingbo Zhao, M.D., Ph.D., Department of Obstetrics and Gynecology, Provincial Hospital affiliated to Shandong University, Jing Wu Road 324#, Jinan, People's Republic of China (FAX: +86 0531 87068707).
L.Y. has nothing to disclose. Y.T. has nothing to disclose. Y.F. has nothing to disclose. X.Z. has nothing to disclose.
ABSTRACT