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Published on: January 22, 2022
Successful pregnancy after fertility-preserving surgery for endometrial stromal sarcoma
Lei Yan1, Yongjie Tian, Yibing Fu
1Department of Obstetrics and Gynecology, Provincial Hospital affiliated to Shandong University, Jinan, People's Republic of China.
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.
