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Fertility-sparing surgery for patients with low-grade endometrial stromal sarcoma

PURPOSE: To assess the clinical outcomes and fertility of young women with stage I low-grade endometrial stromal sarcoma (ESS) treated with fertility-sparing surgery. RESULTS: Seventeen patients with stage I low-grade ESS (stage IA, n = 6; stage IB, n = 11) were entered into this study. Adjuvant hor...

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Detalles Bibliográficos
Autores principales: Xie, Weimin, Cao, Dongyan, Yang, Jiaxin, Jiang, Xuan, Shen, Keng, Pan, Lingya, Huang, Huifang, Lang, Jinghe, You, Yan, Chen, Jie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Impact Journals LLC 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5354684/
https://www.ncbi.nlm.nih.gov/pubmed/27736798
http://dx.doi.org/10.18632/oncotarget.12491
Descripción
Sumario:PURPOSE: To assess the clinical outcomes and fertility of young women with stage I low-grade endometrial stromal sarcoma (ESS) treated with fertility-sparing surgery. RESULTS: Seventeen patients with stage I low-grade ESS (stage IA, n = 6; stage IB, n = 11) were entered into this study. Adjuvant hormone therapy was administered to 15 (88.2%) patients. At a median follow-up of 39 months (range, 4106 months), 10 (58.8%) patients developed recurrence. All 10 patients had stage IB disease; among them, the first recurrence limited to the uterus was observed in 6 patients. All 17 patients were alive and disease-free at the time of last contact. After treatment, five of eight (62.5%) patients who attempted pregnancy conceived. No offspring had congenital anomalies. METHODS: Patients with stage I low-grade ESS who underwent fertility-sparing surgery between April 2001 and November 2015 were retrospectively reviewed. CONCLUSIONS: Fertility-sparing surgery may be considered for young patients with stage IA low-grade ESS who wish to preserve their fertility.