IMR Press / EJGO / Volume 39 / Issue 3 / DOI: 10.12892/ejgo4077.2018

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report
Conservative surgical treatment of an isolated uterine body choriocarcinoma under transient occlusion of uterine arteries
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1 Department of Obstetrics and Gynecology, College of Medicine, University of Ulsan, Ulsan University Hospital, Ulsan, Republic of Korea
Eur. J. Gynaecol. Oncol. 2018, 39(3), 503–506; https://doi.org/10.12892/ejgo4077.2018
Published: 10 June 2018
Abstract

In patients with choriocarcinoma of the uterine body who want to preserve fertility, it is inevitable to perform uterus conserving surgery with safe surgical techniques and to obtain an efficient clinical outcome of survival and pregnancy. A 30-year-old G1 P0 patient was referred to the present department due to treatment failure of abnormal intrauterine pregnancy after endometrial curettage. Under the clinical impression of gestational trophoblastic disease (GTN) localized in the posterior uterine body, the patient underwent wide wedge resection of uterine wall along with securing safe margins under transient occlusion of uterine arteries (TOUA). After resection and uteroplasty was performed, the pathology report revealed the diagnosis of choriocarcinoma; hence, the patient received three cycles of adjuvant chemotherapy with the EMA-CO regimen. During 12 months after completing chemotherapy treatment, the patient has been doing well without recurrence.
Keywords
Conservative surgery
Choriocarcinoma
Uterine body
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