title: [Conservative treatment of ectopic pregnancy in a 27 years old patient with stage-Ia ovarian cancer after conservative surgical treatment and chemotherapy].
abstract: We report a case of conservative treatment of ectopic pregnancy in a 27 years old patient, previously treated for ovarian cancer. Two years before she had surgery because of tumour in the left ovary. Ovarian cancer in stage la according to FIGO was confirmed. Considering the patient s young age, future reproductive plans and the early stage of cancer, the patient qualified for conservative treatment. Left adnexectomy with consequent chemotherapy (6 courses) was performed. Two years later on the ground of clinical symptoms, gynaecologic examination, sonography and changes in HCG serum concentration, ectopic pregnancy was recognised in the right tube. We applied conservative management with intramuscularly administrated Methotrexate. The patient, in good condition, was discharged from hospital on day 12 after injection of Methotrexate.
authors.affiliation: Klinika Ginekologii Operacyjnej i Endoskopowej, Instytut Centrum Zdrowia Matki Polski, Rzgowska 281/289, 93-338 Łódź, Poland. kl.gin.op.end.iczmp@wp.pl
authors.forename: Andrzej
authors.initials: A
authors.lastname: Malinowski
authors.forename: Tomasz
authors.initials: T
authors.lastname: Augustyniak
authors.forename: Ilona
authors.initials: I
authors.lastname: Bartosiak
authors.forename: Grazyna
authors.initials: G
authors.lastname: Maciołek-Bleniewska
authors.forename: Arkadiusz
authors.initials: A
authors.lastname: Ciesielski
mesh_terms: D000020:Abortifacient Agents, Nonsteroidal / Q000008:administration & dosage*; D000328:Adult; D000964:Antimetabolites, Antineoplastic / Q000008:administration & dosage; D018269:Carcinoma, Endometrioid / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D008727:Methotrexate / Q000008:administration & dosage*; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000188:drug therapy*; D011274:Pregnancy, Tubal / Q000188:drug therapy* / Q000473:pathology; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000020:Abortifacient Agents, Nonsteroidal; D000964:Antimetabolites, Antineoplastic; D008727:Methotrexate