BACKGROUND: Spontaneous pregnancy is rare after radical cytoreduction and intraperitoneal chemotherapy. CASE: We present a case of a 28-year-old female with extensive, bulky malignant peritoneal epitheliod mesothelioma who underwent optimal cytoreduction with peritonectomy followed by intraoperative hyperthermic cisplatin and postoperative intraperitoneal paclitaxel and fluorouracil. Fourteen months after the conclusion of her therapy, she spontaneously conceived, resulting in an uneventful term pregnancy and spontaneous vaginal delivery. CONCLUSION: Fertility may be preserved in select patients after radical cytoreduction and hyperthermic intraperitoneal chemotherapy.
BACKGROUND: Spontaneous pregnancy is rare after radical cytoreduction and intraperitoneal chemotherapy. CASE: We present a case of a 28-year-old female with extensive, bulky malignant peritoneal epitheliod mesothelioma who underwent optimal cytoreduction with peritonectomy followed by intraoperative hyperthermic cisplatin and postoperative intraperitoneal paclitaxel and fluorouracil. Fourteen months after the conclusion of her therapy, she spontaneously conceived, resulting in an uneventful term pregnancy and spontaneous vaginal delivery. CONCLUSION: Fertility may be preserved in select patients after radical cytoreduction and hyperthermic intraperitoneal chemotherapy.
Authors: Pablo Ortega-Deballon; Olivier Glehen; Edward Levine; Pompiliu Piso; Paul H Sugarbaker; Andrea Hayes-Jordan; Audrey Facy; Naoual Bakrin; Patrick Rat Journal: Ann Surg Oncol Date: 2011-02-11 Impact factor: 5.344