title: Successful pregnancy after fertility-preserving surgery for endometrial stromal sarcoma.
abstract: OBJECTIVE
  To report a case of successful pregnancy after treatment for endometrial stromal sarcoma.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Gynecology department at a provincial hospital affiliated with a university.
  
  
  METHODS
  A 25-year-old woman (gravida 0, para 0) with a misdiagnosis of myoma who received a pathologic diagnosis of endometrial stromal sarcoma after the first surgery.
  
  
  METHODS
  Second fertility-preserving surgery and chemotherapy.
  
  
  METHODS
  Successful pregnancy and follow-up visit.
  
  
  RESULTS
  After the conservative treatment, the patient entered complete remission. She conceived naturally and delivered at 39 weeks' gestation by caesarean section approximately 40 months after the surgery.
  
  
  CONCLUSIONS
  Endometrial stromal sarcoma is a rare uterine tumor with a poor prognosis. This case shows that successful pregnancy is possible after effective conservative treatment by local surgical resection and adjunct chemotherapy.
authors.affiliation: Department of Obstetrics and Gynecology, Provincial Hospital affiliated to Shandong University, Jinan, People's Republic of China.
authors.forename: Lei
authors.initials: L
authors.lastname: Yan
authors.forename: Yongjie
authors.initials: Y
authors.lastname: Tian
authors.forename: Yibing
authors.initials: Y
authors.lastname: Fu
authors.forename: Xingbo
authors.initials: X
authors.lastname: Zhao
mesh_terms: D000328:Adult; D002585:Cesarean Section; D017024:Chemotherapy, Adjuvant; D016889:Endometrial Neoplasms / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005298:Fertility; D005865:Gestational Age; D013509:Gynecologic Surgical Procedures; D006801:Humans; D050498:Live Birth; D019060:Minimally Invasive Surgical Procedures; D011247:Pregnancy; D018203:Sarcoma, Endometrial Stromal / Q000188:drug therapy / Q000503:physiopathology / Q000601:surgery*; D016896:Treatment Outcome