title: A successful pregnancy and delivery after resectoscopic surgery for early invasive endometrial cancer.
abstract: Among young women, the incidence of uterine corpus cancer is increasing. Most young women can not preserve fertility because simple total hysterectomy with bilateral salpingo-oophorectomy is the standard method for early endometrial cancer so far. We present a case of early endometrial adenocarcinoma which succeeded in pregnancy and delivery after resectoscopic surgery. Following a circumferential resection of the lesion including the mucosa and muscle layer under resectoscopic guidance, the patient became pregnant by means of in vitro fertilization-embyo transfer with hormone replenishment. She underwent cesarean section at 33 weeks and five days of gestation and had a healthy baby. Resectscopic surgery can help to preserve fertility among young women who have early invasive endometrial cancer.
authors.affiliation: Department of Obstetrics and Gynecology, Oita Prefectural Hospital, Oita, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Matsumoto
authors.forename: K
authors.initials: K
authors.lastname: Toyofuku
authors.forename: I
authors.initials: I
authors.lastname: Taniguchi
authors.forename: M
authors.initials: M
authors.lastname: Haraokaz
authors.forename: T
authors.initials: T
authors.lastname: Utsunomiya
authors.forename: N
authors.initials: N
authors.lastname: Takai
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D002585:Cesarean Section; D004624:Embryo Transfer; D016889:Endometrial Neoplasms / Q000601:surgery*; D005260:Female; D005307:Fertilization in Vitro; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D011247:Pregnancy