Successful multidisciplinary treatment of uterine serous carcinoma in a patient who had previously undergone renal transplantation

I. Heng Chiu, Wan Jing Ho, Ren Chin Wu, Angel Chao*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

Abstract

Objective: Renal transplantation is a risk factor for premalignant and malignant changes of the endometrium. Thus, prompt and aggressive treatment of postoperative complications remains a major issue. We report the case of an asymptomatic postmenopausal woman with a history of renal transplantation who underwent surgery for uterine serous carcinoma (USC). Case report: An asymptomatic 59-year-old woman who had undergone renal transplantation presented with elevated serum CA-125 levels. Cancer screening revealed uterine serous carcinoma, for which she underwent total hysterectomy and bilateral salpingo-oophorectomy. Unfortunately, the postoperative course was complicated by cardiogenic shock and decompensated heart failure. The complexities of the cardiac problems and renal transplantation required a multidisciplinary approach involving different specialists. She was successfully discharged 48 days after the surgery. Conclusion: Gynecologic cancer screening in asymptomatic postmenopausal women after renal transplantation is warranted. If postoperative complications occur in this population, a multidisciplinary approach is recommended.

Original languageEnglish
Pages (from-to)601-604
Number of pages4
JournalTaiwanese Journal of Obstetrics and Gynecology
Volume57
Issue number4
DOIs
StatePublished - 08 2018

Bibliographical note

Publisher Copyright:
© 2018

Keywords

  • Multidisciplinary approach
  • Renal transplant
  • Uterine serous carcinoma

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