Persistent low-grade endometrial stromal tumor during two consecutive pregnancies-a case report and review of

literature

The authors report a case of persistent endometrial stromal tumour during two consecutive pregnancies. The diagnosis of endometrial stromal sarcoma (ESS) is difficult by fragmented tissue. There were a total of 19 reported cases of pregnancy after conservative man-agement of endometrial stromal sarcoma. Monitoring of disease during pregnancy is challenging, although most patients remain in a stable condition with a follow-up duration of 2-60 months. Although the present patient had a favorable disease outcome despite having co-existing ESS sustained throughout two term pregnancies, the current evidence on the safety of this approach is still scarce and thor-ough counseling is mandatory if any young patients wish to retain their fertility potential.

Endometrial stroma tumour; Fertility-sparing surgery; Pregnancy.

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