Embryo Cryopreservation After Diagnosis of Stage IIB Endometrial Cancer and Subsequent Pregnancy in a Gestational Carrier
Overview
Affiliations
Objective: To describe a case of embryo cryopreservation before hysterectomy and bilateral salpingo-oophorectomy for endometrial cancer.
Design: Case report.
Setting: University and community service.
Patient(s): An infertile woman with endometrial biopsy demonstrating grade II/III moderately differentiated endometrial adenocarcinoma.
Intervention(s): A Progestasert intrauterine device (IUD) was inserted into the uterine cavity to potentially reduce tumor proliferation during the stimulation cycle followed by oocyte retrieval and cryopreservation of 14 embryos.
Main Outcome Measure(s): Pregnancy.
Result(s): Successful pregnancy in a gestational carrier.
Conclusion(s): Embryo cryopreservation and use of a gestational carrier may offer a fertility option for patients with endometrial malignancies without substantially delaying treatment.
Strategies to preserve the reproductive future of women after cancer.
de Carvalho B, Rodrigues J, Campos J, Silva A, Marinho R, Silva A JBRA Assist Reprod. 2022; 18(1):16-23.
PMID: 35761719 PMC: 9237914. DOI: 10.5935/1518-0557.20140087.
A call to action: unified clinical practice guidelines for oncofertility care.
Sehring J, Hussain A, Grimm L, Rosen E, Esguerra J, Matevossian K J Assist Reprod Genet. 2021; 38(7):1745-1754.
PMID: 33709343 PMC: 8324617. DOI: 10.1007/s10815-021-02142-z.
Fertility preservation in women with cervical, endometrial or ovarian cancers.
Feichtinger M, Rodriguez-Wallberg K Gynecol Oncol Res Pract. 2016; 3:8.
PMID: 27468354 PMC: 4962474. DOI: 10.1186/s40661-016-0029-2.
Preserving fertility in young patients with endometrial cancer: current perspectives.
Kalogera E, Dowdy S, Bakkum-Gamez J Int J Womens Health. 2014; 6:691-701.
PMID: 25114594 PMC: 4122529. DOI: 10.2147/IJWH.S47232.
Xu M, Fazleabas A, Shikanov A, Jackson E, Barrett S, Hirshfeld-Cytron J Biol Reprod. 2010; 84(4):689-97.
PMID: 21123815 PMC: 3062036. DOI: 10.1095/biolreprod.110.088674.