Conservative surgical treatment of an isolated uterine body choriocarcinoma under transient occlusion of uterine arteries

摘要

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.