Yan L, Tian Y, Fu Y, Zhao X
Successful pregnancy after fertility-preserving surgery for endometrial stromal sarcoma. [JOURNAL ARTICLE]
Fertil Steril 2009 Oct 30.
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.
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