کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
6183772 1254126 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Progestin re-treatment in patients with recurrent endometrial adenocarcinoma after successful fertility-sparing management using progestin
ترجمه فارسی عنوان
درمان مجدد پروژستین در بیماران مبتلا به آدنوکارسینوم مکرر آندومتر پس از موفق شدن در مدیریت باروری با استفاده از پروژسترون
کلمات کلیدی
سرطان آندومتری، سرطان آندومتر عادی، مدیریت بیماری باروری، پروژستین، درمان مجدد پروژستین،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
چکیده انگلیسی

ObjectiveTo analyze the outcomes of second round of fertility-sparing management using progestin in patients with recurrent endometrial cancer after successful fertility-sparing management using progestin.MethodsWe reviewed 45 patients who had recurrence after achieving complete remission by fertility-sparing management using progestin for presumed stage IA, grade 1, endometrioid adenocarcinoma of the uterus. Of 45 patients, 33 tried progestin re-treatment at recurrence and were included in this study.ResultsRecurrent disease was atypical hyperplasia in 13 patients (39%) and grade 1 endometrioid adenocarcinoma in 20 patients (61%) which were confined to the endometrium. Thirty patients (91%) received medroxyprogesterone acetate (dose range, 80-500 mg/day) and three patients (9%) received megestrol acetate (dose range, 80-160 mg/day), with 29 patients receiving a dose of 500 mg/day of medroxyprogesterone acetate. The median duration of treatment was 6 months (range, 3-19 months). Five patients failed to respond to progestin re-treatment and underwent definitive surgical treatment including hysterectomy. Twenty eight patients (85%) showed complete response to progestin re-treatment. The median follow-up time after progestin re-treatment in 28 patients who achieved complete remission was 51 months (range, 24-160 months). During follow-up, five patients had second recurrence after median time interval of 14 months (range, 4-82 months). All patients who tried progestin re-treatment are alive without evidence of disease.ConclusionProgestin re-treatment in patients with recurrent endometrial cancer was effective and safe. Therefore, this can be recommended for young women who still want to preserve fertility at recurrence after complete response to progestin.

► Complete response rate and durable response rate to progestin re-treatment is very high. ► No one experienced disease progression during progestin re-treatment and follow-up. ► Progestin re-treatment can be a reasonable treatment option for patients with recurrent endometrial cancer.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Gynecologic Oncology - Volume 129, Issue 1, April 2013, Pages 7-11
نویسندگان
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