Experience of endometrial stromal sarcoma with fertility conservation treatment

详细信息    查看全文

• 作者：Dajun Xiang (1)
  Youyi Yang (1)
  Hua Zhao (2)
  
• 关键词：endometrial stromal sarcoma ; fertility conservation ; experience ; recurrence
• 刊名：The Chinese-German Journal of Clinical Oncology
• 出版年：2009
• 出版时间：September 2009
• 年：2009
• 卷：8
• 期：9
• 页码：552-553
• 全文大小：66KB
• 参考文献：1. Larson B, Silfversw盲rd C, Nilsson B, / et al. Endometrial stromal sarcoma of the uterus. A clinical and histopathological study. The Radiumhemmet series 1936鈥?981. Eur J Obstet Gynecol Reprod Biol, 1990, 35: 239鈥?49. CrossRef
  2. Sun AD, Lian LJ. Analysis of 11 cases with low-grade endometrial stromal sarcoma. Chin J Obstet Gynecol (Chinese), 1996, 31: 630鈥?31.
  3. Styron SL, Burke TW, Linville WK. Low-grade endometrial stromal sarcoma recurring over three decades. Gynecol Oncol, 1989, 35: 275鈥?78. CrossRef
  4. Stadsvold JL, Molpus KL, Baker JJ, / et al. Conservative management of a myxoid endometrial stromal sarcoma in a 16-year-old nulliparous woman. Gynecol Oncol, 2005, 99: 243鈥?45. CrossRef
  5. Ma SK, Zhang HT, Wu LY, / et al. Treatment and prognosis of low-grade malignant endometrial stromal sarcoma. Chin J Oncol (Chinese), 2007, 29: 74鈥?8.
  
• 作者单位：Dajun Xiang (1)
  Youyi Yang (1)
  Hua Zhao (2)
  
  1. Department of Gynecology Oncology, Wuxi Maternal and Child Care Centre Attached to Nanjing Medical University, Wuxi, 214002, China
  2. Department of Pathology, Wuxi Maternal and Child Care Centre Attached to Nanjing Medical University, Wuxi, 214002, China
  

文摘

Abstract The paper introduced the experience of a case of recurrence of endometrial stromal sarcoma with fertility conservation treatment after full-term delivery. A 24-year-old unmarried patient who, with her increasing amount of menstruation in the late six months, had a mass in her lower-abdominal which was confirmed by B-ultrasonic diagnosis as myometrium mixed mass, was given an enucleation of uterus tumor. The pathological examination of tumor sample revealed it as low-grade endometrial stromal sarcoma (LESS). And the patient underwent 6 cycles of chemotherapy over 8 months before she got pregnant and had a full-term delivery. But in 34 months after delivery, the disease recurred with metastatic of pelvic and peritoneal cavity and the patient had to receive comprehensive therapy. Conclusion The unmarried young patient with stage I low-grade endometrial stromal sarcoma has the chance to preserve uterus for her pregnancy and delivery. But the using of cesarean needs do staging operation and prognosis evaluation.