Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma

PİRİMOĞLU, Meltem; ESİM BÜYÜKBAYRAK, ESRA; KARAGEYİM KARŞIDAĞ, AYŞE YASEMİN

Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma

Ayşe Yasemin Karageyim KARŞIDAĞ, (Kartal Eğitim ve Araştırma Hastanesi)

Esra Esim BÜYÜKBAYRAK, (Kartal Eğitim ve Araştırma Hastanesi)

Meltem PİRİMOĞLU (Kartal Eğitim ve Araştırma Hastanesi)

Causapedia

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Yıl: 2016 Cilt: 5 Sayı: 2 Sayfa Aralığı: 92 - 95 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma

Öz:

Yirmi altı yaşındaki hasta kliniğimize primer infertilitetanısı ile başvurdu. Infertilite tetkikleri sırasında kalın vedüzensiz endometriyum saptanması üzerine yapılanendometriyal örneklemede 'iyi diferansiye endometriyaladenokarsinom. Grade 1' saptandı. Manyetik rezonansincelemede (MR) endometriyal kavitede 36X19mm kitleizlendi. Pozitron Emisyon Tomografi (PET), uterinlezyon dışında normal olarak saptandı. Full küretajuygulandı ve işlem sonrası MR ile rezidü endometriyallezyon, myometriyal ve servikal invazyon izlenmedi.Hasta ile görüşüldükten sonra, hastanın gebelik isteğinedeni ile yüksek doz gestagen tedavisi planlandı.Megestrol asetatın 12 ay kullanımından sonra ultrasondaatrofik endometriyum izlendi ve histolojik olarak ta tanıdoğrulandı. Megestrol asetat kesildi ve hasta adetgörmeye başladı. Kontrole çağrılan hasta spontan gebekalarak başvurdu. Rutin obstetrik izleme alınan hasta,39. haftada sezaryen ile doğum yaptı. Fertilite isteği olanerken evre endometriyum adenokarsinomu saptanangenç kadınlarda konservatif tedavi bir seçenek olaraksunulmalıdır

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Konservatif Tedavi Edilen Endometriyum Karsinomu Sonrası Spontan Gebelik Kadın Hastalıkları ve Doğum

Öz:

A 26 year old women complaining of primaryinfertility has applied to our clinic. During infertilityworkup, her endometrium was irregular and thick soendometrial sampling was performed and ‘welldifferentiated endometrial adenocarcinoma, Grade 1’was detected. Magnetic resonance imaging (MRI)showed 36x19mm mass in endometrial cavity.Positron Emission Tomography (PET) was normalexcept uterine lesion. Full curettage was performedand after curettage, we confirmed that there was nodetectable endometrial mass or myometrial invasionor cervical involvement by MRI imaging. Aftercounseling, the patient wished to retain her ability toconceive, so high dose progestin therapy wasrecommended. After megestrol acetate usage for 12months, we found atrophic endometrium byultrasound examination, and this was confirmed asatrophic endometrium by histological examination.Then, megestrol acetate treatment was stopped and thepatient resumed her menses. She was scheduled for acontrol visit but she turned out to be pregnant. Thenshe received routine obstetrical care and delivered byCesarean section at 39 weeks in gestational periods.We conclude that conservative treatment of earlystage endometrial adenocarcinoma in young womenwishing fertility is an option in carefully selectedcases.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KARAGEYİM KARŞIDAĞ A, ESİM BÜYÜKBAYRAK E, PİRİMOĞLU M (2016). Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma. , 92 - 95.
Chicago	KARAGEYİM KARŞIDAĞ AYŞE YASEMİN,ESİM BÜYÜKBAYRAK ESRA,PİRİMOĞLU Meltem Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma. (2016): 92 - 95.
MLA	KARAGEYİM KARŞIDAĞ AYŞE YASEMİN,ESİM BÜYÜKBAYRAK ESRA,PİRİMOĞLU Meltem Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma. , 2016, ss.92 - 95.
AMA	KARAGEYİM KARŞIDAĞ A,ESİM BÜYÜKBAYRAK E,PİRİMOĞLU M Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma. . 2016; 92 - 95.
Vancouver	KARAGEYİM KARŞIDAĞ A,ESİM BÜYÜKBAYRAK E,PİRİMOĞLU M Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma. . 2016; 92 - 95.
IEEE	KARAGEYİM KARŞIDAĞ A,ESİM BÜYÜKBAYRAK E,PİRİMOĞLU M "Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma." , ss.92 - 95, 2016.
ISNAD	KARAGEYİM KARŞIDAĞ, AYŞE YASEMİN vd. "Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma". (2016), 92-95.

APA	KARAGEYİM KARŞIDAĞ A, ESİM BÜYÜKBAYRAK E, PİRİMOĞLU M (2016). Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma. Causapedia, 5(2), 92 - 95.
Chicago	KARAGEYİM KARŞIDAĞ AYŞE YASEMİN,ESİM BÜYÜKBAYRAK ESRA,PİRİMOĞLU Meltem Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma. Causapedia 5, no.2 (2016): 92 - 95.
MLA	KARAGEYİM KARŞIDAĞ AYŞE YASEMİN,ESİM BÜYÜKBAYRAK ESRA,PİRİMOĞLU Meltem Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma. Causapedia, vol.5, no.2, 2016, ss.92 - 95.
AMA	KARAGEYİM KARŞIDAĞ A,ESİM BÜYÜKBAYRAK E,PİRİMOĞLU M Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma. Causapedia. 2016; 5(2): 92 - 95.
Vancouver	KARAGEYİM KARŞIDAĞ A,ESİM BÜYÜKBAYRAK E,PİRİMOĞLU M Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma. Causapedia. 2016; 5(2): 92 - 95.
IEEE	KARAGEYİM KARŞIDAĞ A,ESİM BÜYÜKBAYRAK E,PİRİMOĞLU M "Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma." Causapedia, 5, ss.92 - 95, 2016.
ISNAD	KARAGEYİM KARŞIDAĞ, AYŞE YASEMİN vd. "Spontaneous Pregnancy After Conservatively Treated Endometrial Adenocarcinoma". Causapedia 5/2 (2016), 92-95.