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Successful pregnancy after fertility-sparing local resection and uterine reconstruction for low-grade endometrial
Abigail A Delaney1, Ashley L Gubbels, Steve Remmenga
1From the Department of Obstetrics and Gynecology, University of Nebraska Medical Center, Omaha, Nebraska; and the Halifax Health Center for Oncology, Daytona Beach, Florida.
Background:
Fertility-sparing management of endometrial stromal sarcoma has been demonstrated, but reports of pregnancy after such management are rare in our current body of literature.
Case:
A 16-year-old nulligravid adolescent girl presented with symptoms of menometrorrhagia and was found to have a 17-cm uterine mass. The patient underwent local resection of the mass with uterine reconstruction. Pathology revealed a low-grade endometrial stromal sarcoma. She was placed on high-dose daily megestrol acetate therapy and remained disease-free for 8 years before achieving pregnancy spontaneously. The patient underwent an uncomplicated pregnancy until 34 weeks of gestation, when she presented in preterm labor and underwent cesarean delivery of a liveborn male neonate, with no evidence of disease recurrence.
Conclusion:
Fertility-sparing management and close follow-up of low-grade endometrial stromal sarcoma may be a viable option for those desiring future fertility.
