[Pregnancy after conservative management of endometrial cancer].
OBJECTIVE
To show the reproductive future of a case of endometrial cancer with conservative management.


METHODS
a case report and literature review. 31 years old woman, with a history of infertility of three years and abnormal uterine bleeding of one year, diagnosed with well differentiated endometrial adenocarcinoma IA GI. Treatment was initiated with 500 mg of progesterone three times a week for 6 months, after an endometrial curettage reporting healthy endometrium, pregnancy was achieved with homologous artificial insemination after hysteroscopy and directed biopsy with laparoscopic control by assisted reproduction service.


RESULTS
Exploratory laparotomy and cesarean section was performed at 38 weeks of pregnancy, giving a 3.340 g weight male with Apgar score 9/9. A review of abdominal cavity and an obstetric curettage were performed. Biopsies were taken from slides and peritoneal lavage, Neoplastic changes were not reported by pathology.


CONCLUSIONS
Endometrial cancer is common in adult women and is increasingly affecting young women, associated with infertility, obesity and nulliparity. The treatment of choice: total hysterectomy with bilateral salpingooforectomy. The prognosis in well-differentiated early, and infertility, permits conservative management based on progestins, with good results, low recurrence rate and preserving fertility.
Fuentes Dehesa
Mayeli
M
Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, DF México. mafude79@hotmail.com
Arteaga Gómez
Ana Cristina
AC
Moreno Verduzco
Elsa
E
Aranda Flores
Carlos E
CE
D000230:Adenocarcinoma / Q000628:therapy*; D000328:Adult; D016889:Endometrial Neoplasms / Q000628:therapy*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome