Successful multidisciplinary treatment of uterine serous carcinoma in a patient who had previously undergone renal transplantation

Objective: Renal transplantation is a risk factor for premalignant and malignant changes of the endometrium. Thus, prompt and aggressive treatment of postoperative complications remains a major issue. We report the case of an asymptomatic postmenopausal woman with a history of renal transplantation...

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Main Authors: I-Heng Chiu (Author), Wan-Jing Ho (Author), Ren-Chin Wu (Author), Angel Chao (Author)
Format: Book
Published: Elsevier, 2018-08-01T00:00:00Z.
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042 |a dc 
100 1 0 |a I-Heng Chiu  |e author 
700 1 0 |a Wan-Jing Ho  |e author 
700 1 0 |a Ren-Chin Wu  |e author 
700 1 0 |a Angel Chao  |e author 
245 0 0 |a Successful multidisciplinary treatment of uterine serous carcinoma in a patient who had previously undergone renal transplantation 
260 |b Elsevier,   |c 2018-08-01T00:00:00Z. 
500 |a 1028-4559 
500 |a 10.1016/j.tjog.2018.06.023 
520 |a Objective: Renal transplantation is a risk factor for premalignant and malignant changes of the endometrium. Thus, prompt and aggressive treatment of postoperative complications remains a major issue. We report the case of an asymptomatic postmenopausal woman with a history of renal transplantation who underwent surgery for uterine serous carcinoma (USC). Case report: An asymptomatic 59-year-old woman who had undergone renal transplantation presented with elevated serum CA-125 levels. Cancer screening revealed uterine serous carcinoma, for which she underwent total hysterectomy and bilateral salpingo-oophorectomy. Unfortunately, the postoperative course was complicated by cardiogenic shock and decompensated heart failure. The complexities of the cardiac problems and renal transplantation required a multidisciplinary approach involving different specialists. She was successfully discharged 48 days after the surgery. Conclusion: Gynecologic cancer screening in asymptomatic postmenopausal women after renal transplantation is warranted. If postoperative complications occur in this population, a multidisciplinary approach is recommended. Keywords: Multidisciplinary approach, Renal transplant, Uterine serous carcinoma 
546 |a EN 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n Taiwanese Journal of Obstetrics & Gynecology, Vol 57, Iss 4, Pp 601-604 (2018) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S1028455918301414 
787 0 |n https://doaj.org/toc/1028-4559 
856 4 1 |u https://doaj.org/article/c0ce3a0437c84a08be79ea704bbf7d6c  |z Connect to this object online.