Conservative management of a patient with endometrial carcinoma desiring fertility: how to inform?
Conservative management of patients with endometrial cancer who desire fertility is becoming widespread in certain circumstances. A 36-year-old women desiring fertility with early-stage endometroid type adenocarcinoma of the endometrium was treated with 160 mg/d megestrol acetate for six months. After confirmation of a normal endometrial biopsy she became pregnant spontaneously. Following an uneventful pregnancy a healthy baby at term was delivered by cesarean section. Definitive surgery was performed. The risks and benefits of this thereupeutic approach are discussed and informing style of the patients emphasized.
Topuz
S
S
Department of Obstetrics and Gynecology, Istanbul University, School of Medicine, Turkey. samettopuz@yahoo.com
Kalelioğlu
I
I
Iyibozkurt
C
C
Ergun
B
B
D000328:Adult; D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use*; D018269:Carcinoma, Endometrioid / Q000188:drug therapy* / Q000473:pathology; D016889:Endometrial Neoplasms / Q000188:drug therapy* / Q000473:pathology; D005260:Female; D005298:Fertility; D006801:Humans; D019290:Megestrol Acetate / Q000627:therapeutic use*; D010358:Patient Participation; D011247:Pregnancy
D018931:Antineoplastic Agents, Hormonal; D019290:Megestrol Acetate