Fertility preservation in patients with uterus didelphys and endometrial carcinoma: a case report

Abstract Background Endometrial cancer combining uterus didelphys is quite rare clinically which partially explains that there is no discussion about young patients' fertility preservation and follow up of tumor outcome. Case presentation In this article, we report a case of unilateral endometr...

Full description

Saved in:
Bibliographic Details
Main Authors: Jiao Yu (Author), Jing Shang (Author), Hongwu Wen (Author), Yang Xu (Author)
Format: Book
Published: BMC, 2021-08-01T00:00:00Z.
Subjects:
Online Access:Connect to this object online.
Tags: Add Tag
No Tags, Be the first to tag this record!

MARC

LEADER 00000 am a22000003u 4500
001 doaj_8fb383ec4e104b069c33a0ea301be0bc
042 |a dc 
100 1 0 |a Jiao Yu  |e author 
700 1 0 |a Jing Shang  |e author 
700 1 0 |a Hongwu Wen  |e author 
700 1 0 |a Yang Xu  |e author 
245 0 0 |a Fertility preservation in patients with uterus didelphys and endometrial carcinoma: a case report 
260 |b BMC,   |c 2021-08-01T00:00:00Z. 
500 |a 10.1186/s12905-021-01455-6 
500 |a 1472-6874 
520 |a Abstract Background Endometrial cancer combining uterus didelphys is quite rare clinically which partially explains that there is no discussion about young patients' fertility preservation and follow up of tumor outcome. Case presentation In this article, we report a case of unilateral endometrial carcinoma found in a young patient with uterus didelphys who was treated with high-efficiency progesterone due to unfinished child-bearing. During the follow-up, the affected uterine endometrium was not reversed by progesterone. So, the patient underwent the abdominal surgery with the left uterus and left fallopian tube resection. We performed three consecutive immunohistochemical studies of the contralateral uterine endometrium to verify the safety of preserving the contralateral uterus and its appendages which preserved her fertility. Conclusions Endometrial cancer occurring in patients with uterus didelphys is quite rare in child-bearing age. In this case report, we preserved the patient's contralateral uterus based on patient's strong needs and negative IHC analysis of the preserved side uterine endometrium. However, the tumor and fertility outcome require more follow-up. 
546 |a EN 
690 |a Endometrial cancer 
690 |a Fertility preservation 
690 |a IHC analysis 
690 |a Uterus didelphys 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
690 |a Public aspects of medicine 
690 |a RA1-1270 
655 7 |a article  |2 local 
786 0 |n BMC Women's Health, Vol 21, Iss 1, Pp 1-4 (2021) 
787 0 |n https://doi.org/10.1186/s12905-021-01455-6 
787 0 |n https://doaj.org/toc/1472-6874 
856 4 1 |u https://doaj.org/article/8fb383ec4e104b069c33a0ea301be0bc  |z Connect to this object online.