Successful pregnancy after limb-sparing hemipelvectomy for Ewing sarcoma: Case report and literature review.


Journal

Taiwanese journal of obstetrics & gynecology
ISSN: 1875-6263
Titre abrégé: Taiwan J Obstet Gynecol
Pays: China (Republic : 1949- )
ID NLM: 101213819

Informations de publication

Date de publication:
Jul 2021
Historique:
accepted: 10 09 2020
entrez: 12 7 2021
pubmed: 13 7 2021
medline: 3 11 2021
Statut: ppublish

Résumé

We present a case of successful pregnancy in a patient who underwent limb-sparing hemipelvectomy combined with multi-agent chemotherapy and radiotherapy for Ewing sarcoma. A 17-year-old girl was diagnosed with Ewing sarcoma of the left pelvis at the age of 17 and received limb-sparing hemipelvectomy combined with multi-agent chemotherapy and radiotherapy. The patient received oral contraceptives as hormone replacement therapy after completion of treatment. A normal menstruation cycle restored after the withdrawal of oral contraceptives. The patient spontaneously conceived at the age of 25. The patient complained of difficulty walking due to pelvic distortion during pregnancy and delivered a healthy neonate at term by cesarean section. Successful pregnancy and delivery can be achieved after limb-sparing hemipelvectomy combined with chemotherapy and radiotherapy for Ewing sarcoma. Our report provides important information on perinatal management, given the low incidence of pregnancy following treatment of Ewing sarcoma in the pelvis.

Identifiants

pubmed: 34247828
pii: S1028-4559(21)00150-9
doi: 10.1016/j.tjog.2021.05.038
pii:
doi:

Substances chimiques

Contraceptives, Oral, Hormonal 0

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

787-790

Informations de copyright

Copyright © 2021. Published by Elsevier B.V.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare that they have no competing interests.

Auteurs

Jun Kakogawa (J)

Department of Obstetrics and Gynecology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan; Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, Kanagawa, Japan. Electronic address: kakogawa.jun@twmu.ac.jp.

Masaki Ogawa (M)

Department of Obstetrics and Gynecology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan. Electronic address: ogawa.masaki@twmu.ac.jp.

Nao Suzuki (N)

Department of Obstetrics and Gynecology, St. Marianna University School of Medicine, Kanagawa, Japan. Electronic address: nao@marianna-u.ac.jp.

Tsutomu Tabata (T)

Department of Obstetrics and Gynecology, Tokyo Women's Medical University School of Medicine, Tokyo, Japan. Electronic address: tabata.tsutomu@twmu.ac.jp.

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Classifications MeSH