Abstract
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. 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. Fertility-sparing management and close follow-up of low-grade endometrial stromal sarcoma may be a viable option for those desiring future fertility.
Original language | English (US) |
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Pages (from-to) | 486-489 |
Number of pages | 4 |
Journal | Obstetrics and gynecology |
Volume | 120 |
Issue number | 2 Pt 2 |
DOIs | |
State | Published - Aug 2012 |
Externally published | Yes |
ASJC Scopus subject areas
- Obstetrics and Gynecology