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Published on: February 12, 2017
Pregnancy after tumor debulking and intraperitoneal cisplatin for appendiceal carcinoid tumor
Gina M Mantia Smaldone1, Scott D Richard, Thomas C Krivak
1Division of Gynecologic Oncology, Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA. mantiagm@upmc.edu
Background:
Pregnancy after cytoreductive surgery and intraperitoneal chemotherapy is rare.
Case:
We present the case of a 25-year-old woman with appendiceal carcinoid tumor treated with intraperitoneal cisplatin for peritoneal recurrence after a fertility-sparing cytoreductive procedure. Five years after her procedure, she conceived with the help of assisted reproductive technologies and delivered a viable term fetus via cesarean delivery. She subsequently had a successful second pregnancy and is currently alive without evidence of her disease.
Conclusion:
Conception is possible after tumor debulking and intraperitoneal chemotherapy. In unique clinical situations, fertility-sparing surgery may be considered in young patients who desire future pregnancy.
