Primary peritoneal carcinoma in a young woman with suspected endometriosis.
OBJECTIVE
To describe the treatment of a 23-year-old patient with primary peritoneal carcinoma and preservation of her fertility.


METHODS
Case report.


METHODS
University of Schleswig-Holstein, Campus Lübeck, Department of Gynecology and Obstetrics.


METHODS
A 23-year-old patient with primary peritoneal carcinoma.


METHODS
The patient was given treatment by first preserving her fertility with oocyte vitrification and cryoconservation of ovarian biopsy samples. Surgery was performed with radical resection of the peritoneal lesion, ovarian biopsies, omentectomy, and pelvic and para-aortic lymph node sampling before starting chemotherapy with carboplatin and paclitaxel (Taxol). Hysterectomy and bilateral salpingo-oophorectomy were not performed.


METHODS
Treatment of peritoneal carcinoma and number of vitrified oocytes.


RESULTS
Twenty-five oocytes of the patients were vitrified before chemotherapy was performed.


CONCLUSIONS
Primary peritoneal carcinoma is a rare disease that laparoscopically resembles peritoneal endometriosis and histologically is very similar to primary epithelial ovarian cancer. The advised therapy is based on ovarian cancer treatment; however, it is unclear whether the radical operation improves prognosis. In this case, a 23-year-old patient underwent treatment preserving her fertility with oocyte vitrification and cryoconservation of ovarian biopsy samples before surgery and chemotherapy were performed.
Banz
Constanze
C
Department of Gynecology and Obstetrics, University of Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, Lübeck, Germany.
von Otte
Sören
S
Noack
Frank
F
Diedrich
Klaus
K
Hornung
Daniela
D