一名年轻女性IA期子宫内膜癌保守手术后成功妊娠。
Successful pregnancy after conservative surgery for stage IA endometrial cancer in a young woman.
作者信息
Yasuda Masayuki, Terai Yoshito, Sekijima Tatsuharu, Sasaki Hiroshi, Yamashita Yoshiki, Kanemura Masanori, Ohmichi Masahide
机构信息
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Osaka Medical College, Osaka, Japan.
出版信息
Fertil Steril. 2009 Mar;91(3):936.e13-5. doi: 10.1016/j.fertnstert.2008.10.040. Epub 2008 Dec 4.
OBJECTIVE
To report a case of successful pregnancy after conservative surgery for stage 1A endometrial cancer.
DESIGN
Case report.
SETTING
University hospital.
PATIENT(S): A 33-year-old woman who was diagnosed with stage IA endometrial cancer.
INTERVENTION(S): Conservative surgery and chemotherapy.
MAIN OUTCOME MEASURE(S): Clinical outcome.
RESULT(S): After administering medroxyprogesterone acetate (MPA) for 6 weeks, hysterofiberscopy showed that the restricted lesions still remained. A partial resection of the lesions was therefore performed. The patient delivered a girl by cesarean section after the surgery.
CONCLUSION(S): Conservative surgery after MPA treatment may be a new treatment option for patients who wish to preserve their fertility.
目的
报告1例1A期子宫内膜癌保守手术后成功妊娠的病例。
设计
病例报告。
地点
大学医院。
患者
一名33岁被诊断为1A期子宫内膜癌的女性。
干预措施
保守手术及化疗。
主要观察指标
临床结局。
结果
给予醋酸甲羟孕酮（MPA）6周后，宫腔镜检查显示局限性病变仍存在。因此对病变进行了部分切除。术后患者剖宫产分娩一女婴。
结论
MPA治疗后的保守手术可能是希望保留生育能力患者的一种新的治疗选择。
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