a successful pregnancy during the treatment of cervical sarcoma botryoides and advantage of fertility sparing management: a case report
نویسندگان
چکیده
background: sarcoma botryoides of cervix is a rare variant of rhabdomyosarcomas (rms) of female genital tract. it is usually diagnosed in first or second decade of life. in this case report, we aimed to present a 21 year-old nulligravid patient who was diagnosed with embryonal rms of the cervix, to discuss the treatment options that have been stated in the literature, and to highlight the advantage of fertility sparing management in these young patients.case: we report a 21-year-old nulligravid woman complaining about a mass protruding from introitus, which was represented with a 8×7 cm “grape-like” cervical polyp on speculum examination. the histopathologic examination of the biopsy taken was combined with immunohistochemical staining with desmin, myogenin, s100, vimentin, and myoglobin. colposcopy, second biopsy, and positron emission tomography were used during the follow-up. the histopathologic examination revealed embryonal rms of cervix. she received three cycles of combination chemotherapy, doxorubicin and ifosfamide. she refused to have a surgery because of an unplanned, desired pregnancy at two months after the chemotherapy. she was lost during the follow-up. after having an uneventful pregnancy and a successful delivery, she reapplied at postpartum 6th month. colposcopic evaluation revealed a local polypoid area, the histopathologic examination of biopsy suggested recurrence even though positron emission tomography scans were unremarkable. therefore complementary treatment was planned as conization and pelvic lymphadenectomy. the histopathology revealed no residual tumor on the conization material and no involvement of pelvic lymph nodes.conclusion: fertility sparing management, including doxorubicin and ifosfamid combination in chemotherapy step, can be management option. pregnancy and successful delivery is possible during the treatment. colposcopy has importance for early detection of recurrences
منابع مشابه
A successful pregnancy during the treatment of cervical sarcoma botryoides and advantage of fertility sparing management: A case report
BACKGROUND Sarcoma botryoides of cervix is a rare variant of rhabdomyosarcomas (RMS) of female genital tract. It is usually diagnosed in first or second decade of life. In this case report, we aimed to present a 21 year-old nulligravid patient who was diagnosed with embryonal RMS of the cervix, to discuss the treatment options that have been stated in the literature, and to highlight the advant...
متن کاملSuccessful Management of Cervical Ectopic Pregnancy: A Case Report
Background: Cervical ectopic pregnancy is a rare condition with an incidence of less than 0.1% in all ectopic pregnancies. This life-threatening condition is associated with a high morbidity and mortality rates. Recently, the recommended protocol for the treatment of cervical ectopic pregnancy is fertility preservation rather than invasive surgery and hysterectomy. The aim of t...
متن کاملSuccessful conservative management of cervical pregnancy: case report
Background: Cervical pregnancy is a rare type of ectopic pregnancy (EP) in which the pregnancy implants in the lining of the endocervical canal. It accounts for less than 1 percent of ectopic pregnancies. The cause is unknown; local pathology related to previous cervical or uterine surgery may play a role given an apparent association with a prior history of curettage or cesarean delivery. The ...
متن کاملa case study of the two translators of the holy quran: tahereh saffarzadeh and laleh bakhtiar
بطورکلی، کتاب های مقدسی همچون قران کریم را خوانندگان میتوان مطابق با پیش زمینه های مختلفی که درند درک کنند. محقق تلاش کرده نقش پیش زمینه اجتماعی-فرهنگی را روی ایدئولوژی های مترجمین زن و در نتیجه تاثیراتش را روی خواندن و ترجمه آیات قرآن کریم بررسی کند و ببیند که آیا تفاوت های واژگانی عمده ای میان این مترجمین وجود دارد یا نه. به این منظور، ترجمه 24 آیه از آیات قرآن کریم مورد بررسی مقایسه ای قرار ...
15 صفحه اولa comparison of linguistic and pragmatic knowledge: a case of iranian learners of english
در این تحقیق دانش زبانشناسی و کاربردشناسی زبان آموزان ایرانی در سطح بالای متوسط مقایسه شد. 50 دانش آموز با سابقه آموزشی مشابه از شش آموزشگاه زبان مختلف در دو آزمون دانش زبانشناسی و آزمون دانش گفتار شناسی زبان انگلیسی شرکت کردند که سوالات هر دو تست توسط محقق تهیه شده بود. همچنین در این تحقیق کارایی کتابهای آموزشی زبان در فراهم آوردن درون داد کافی برای زبان آموزان ایرانی به عنوان هدف جانبی تحقیق ...
15 صفحه اولمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
international journal of reproductive biomedicineجلد ۱۳، شماره ۲، صفحات ۱۲۵-۰
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023