Complete hysteroscopic resection of a large atypical polypoid adenomyoma, followed by a successful pregnancy
Objective To describe the hysteroscopic resection of a large atypical polypoid adenomyoma (APA) in a young patient followed by a successful pregnancy. Design Case report. Setting Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital, Niigata, Japan. Patient(s) A 29-...
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| Veröffentlicht in: | Fertility and sterility 2011-06, Vol.95 (7), p.2435.e9-2435.e11 |
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| container_title | Fertility and sterility |
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| creator | Yahata, Tetsuro, M.D Nonaka, Taro, M.D Watanabe, Ayuko, M.D Sekine, Masayuki, M.D Tanaka, Kenichi, M.D |
| description | Objective To describe the hysteroscopic resection of a large atypical polypoid adenomyoma (APA) in a young patient followed by a successful pregnancy. Design Case report. Setting Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital, Niigata, Japan. Patient(s) A 29-year-old female who had an endocervical tumor 4 cm in size and a diagnosis of APA. Intervention(s) Conservative hysteroscopic resection of the lesion. Main Outcome Measure(s) Disease and pregnancy outcome. Result(s) The lesion was completely resected by a pathologically guided, hysteroscopic surgery. The patient spontaneously became pregnant and gave birth by vaginal delivery and is free from disease 3 years after the surgery. Conclusion(s) Conservative hysteroscopic surgery may be a good treatment option for APA in patients who wish to preserve their fertility, even for patients with a large lesion. |
| doi_str_mv | 10.1016/j.fertnstert.2011.03.067 |
| format | Article |
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Design Case report. Setting Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital, Niigata, Japan. Patient(s) A 29-year-old female who had an endocervical tumor 4 cm in size and a diagnosis of APA. Intervention(s) Conservative hysteroscopic resection of the lesion. Main Outcome Measure(s) Disease and pregnancy outcome. Result(s) The lesion was completely resected by a pathologically guided, hysteroscopic surgery. The patient spontaneously became pregnant and gave birth by vaginal delivery and is free from disease 3 years after the surgery. Conclusion(s) Conservative hysteroscopic surgery may be a good treatment option for APA in patients who wish to preserve their fertility, even for patients with a large lesion.</description><identifier>ISSN: 0015-0282</identifier><identifier>EISSN: 1556-5653</identifier><identifier>DOI: 10.1016/j.fertnstert.2011.03.067</identifier><identifier>PMID: 21530963</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adenomyoma - pathology ; Adenomyoma - physiopathology ; Adenomyoma - surgery ; Adult ; Atypical polypoid adenomyoma ; Biopsy ; case studies ; conservative hysteroscopic surgery ; Female ; Fertility ; Humans ; Hysteroscopy ; Internal Medicine ; Live Birth ; Magnetic Resonance Imaging ; Obstetrics and Gynecology ; patients ; Pregnancy ; pregnancy outcome ; resection ; Treatment Outcome ; Uterine Neoplasms - pathology ; Uterine Neoplasms - physiopathology ; Uterine Neoplasms - surgery</subject><ispartof>Fertility and sterility, 2011-06, Vol.95 (7), p.2435.e9-2435.e11</ispartof><rights>American Society for Reproductive Medicine</rights><rights>2011 American Society for Reproductive Medicine</rights><rights>Copyright © 2011 American Society for Reproductive Medicine. 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Design Case report. Setting Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital, Niigata, Japan. Patient(s) A 29-year-old female who had an endocervical tumor 4 cm in size and a diagnosis of APA. Intervention(s) Conservative hysteroscopic resection of the lesion. Main Outcome Measure(s) Disease and pregnancy outcome. Result(s) The lesion was completely resected by a pathologically guided, hysteroscopic surgery. The patient spontaneously became pregnant and gave birth by vaginal delivery and is free from disease 3 years after the surgery. Conclusion(s) Conservative hysteroscopic surgery may be a good treatment option for APA in patients who wish to preserve their fertility, even for patients with a large lesion.</description><subject>Adenomyoma - pathology</subject><subject>Adenomyoma - physiopathology</subject><subject>Adenomyoma - surgery</subject><subject>Adult</subject><subject>Atypical polypoid adenomyoma</subject><subject>Biopsy</subject><subject>case studies</subject><subject>conservative hysteroscopic surgery</subject><subject>Female</subject><subject>Fertility</subject><subject>Humans</subject><subject>Hysteroscopy</subject><subject>Internal Medicine</subject><subject>Live Birth</subject><subject>Magnetic Resonance Imaging</subject><subject>Obstetrics and Gynecology</subject><subject>patients</subject><subject>Pregnancy</subject><subject>pregnancy outcome</subject><subject>resection</subject><subject>Treatment Outcome</subject><subject>Uterine Neoplasms - pathology</subject><subject>Uterine Neoplasms - physiopathology</subject><subject>Uterine Neoplasms - surgery</subject><issn>0015-0282</issn><issn>1556-5653</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkkGP1CAUxxujcWdXv4Jy8-LUBxTaXkzcia4mm3hY90wovI6MtFRoNf320syqiScvcOD3_jx-j6IgFEoKVL45lT3GeUxzXksGlJbAS5D1o2JHhZB7IQV_XOwAqNgDa9hFcZnSCQAkrdnT4oJRwaGVfFf4QxgmjzOSr-sWF5IJkzMkYkIzuzCS0BNNvI5HJHpe85n2ZAp-nYKzRFscw7CGQb8mffA-_ERLujVXpMUYTKlfMh3xOOrRrM-KJ732CZ8_7FfF_Yf3Xw4f97efbz4d3t3ujZDNvBfa1rS1uVsm2pZB10OFjFZGsop1teB12wFq3ZmqqrCSYCmztbVScl31reZXxatz7hTD9wXTrAaXDHqvRwxLUo1seC0lQCabM2nyy1PEXk3RDTquioLaVKuT-qtabaoVcJVV59IXD5cs3YD2T-Fvtxl4eQZ6HZQ-RpfU_V1OEHksrG6gysT1mcAs44fDqJJxOBq0Lmb7ygb3P328_SfEeDduY_qGK6ZTWOKYZSuqElOg7rZPsf0JSgGqtub8F17CtPo</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Yahata, Tetsuro, M.D</creator><creator>Nonaka, Taro, M.D</creator><creator>Watanabe, Ayuko, M.D</creator><creator>Sekine, Masayuki, M.D</creator><creator>Tanaka, Kenichi, M.D</creator><general>Elsevier Inc</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110601</creationdate><title>Complete hysteroscopic resection of a large atypical polypoid adenomyoma, followed by a successful pregnancy</title><author>Yahata, Tetsuro, M.D ; Nonaka, Taro, M.D ; Watanabe, Ayuko, M.D ; Sekine, Masayuki, M.D ; Tanaka, Kenichi, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c568t-5ad719d006259920bf04e214c6242b75379b0eaabc444e460d12d7dd663a4f9a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adenomyoma - pathology</topic><topic>Adenomyoma - physiopathology</topic><topic>Adenomyoma - surgery</topic><topic>Adult</topic><topic>Atypical polypoid adenomyoma</topic><topic>Biopsy</topic><topic>case studies</topic><topic>conservative hysteroscopic surgery</topic><topic>Female</topic><topic>Fertility</topic><topic>Humans</topic><topic>Hysteroscopy</topic><topic>Internal Medicine</topic><topic>Live Birth</topic><topic>Magnetic Resonance Imaging</topic><topic>Obstetrics and Gynecology</topic><topic>patients</topic><topic>Pregnancy</topic><topic>pregnancy outcome</topic><topic>resection</topic><topic>Treatment Outcome</topic><topic>Uterine Neoplasms - pathology</topic><topic>Uterine Neoplasms - physiopathology</topic><topic>Uterine Neoplasms - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yahata, Tetsuro, M.D</creatorcontrib><creatorcontrib>Nonaka, Taro, M.D</creatorcontrib><creatorcontrib>Watanabe, Ayuko, M.D</creatorcontrib><creatorcontrib>Sekine, Masayuki, M.D</creatorcontrib><creatorcontrib>Tanaka, Kenichi, M.D</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Fertility and sterility</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yahata, Tetsuro, M.D</au><au>Nonaka, Taro, M.D</au><au>Watanabe, Ayuko, M.D</au><au>Sekine, Masayuki, M.D</au><au>Tanaka, Kenichi, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Complete hysteroscopic resection of a large atypical polypoid adenomyoma, followed by a successful pregnancy</atitle><jtitle>Fertility and sterility</jtitle><addtitle>Fertil Steril</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>95</volume><issue>7</issue><spage>2435.e9</spage><epage>2435.e11</epage><pages>2435.e9-2435.e11</pages><issn>0015-0282</issn><eissn>1556-5653</eissn><abstract>Objective To describe the hysteroscopic resection of a large atypical polypoid adenomyoma (APA) in a young patient followed by a successful pregnancy. 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| source | MEDLINE; ScienceDirect Journals (5 years ago - present); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adenomyoma - pathology Adenomyoma - physiopathology Adenomyoma - surgery Adult Atypical polypoid adenomyoma Biopsy case studies conservative hysteroscopic surgery Female Fertility Humans Hysteroscopy Internal Medicine Live Birth Magnetic Resonance Imaging Obstetrics and Gynecology patients Pregnancy pregnancy outcome resection Treatment Outcome Uterine Neoplasms - pathology Uterine Neoplasms - physiopathology Uterine Neoplasms - surgery |
| title | Complete hysteroscopic resection of a large atypical polypoid adenomyoma, followed by a successful pregnancy |
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