Vilos GA, Ettler HC, Edris F, Hollett-Caines J, Abu-Rafea B. Endometrioid adenocarcinoma treated by hysteroscopic endomyometrial resection.
J Minim Invasive Gynecol 2007;
14:119-22. [PMID:
17218243 DOI:
10.1016/j.jmig.2006.09.004]
[Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2006] [Revised: 08/09/2006] [Accepted: 09/02/2006] [Indexed: 11/26/2022]
Abstract
A 53-year-old multiparous woman, with no identifiable risk factor for endometrial cancer, presented with menorrhagia. She had been treated with oral contraceptives for 3 years. Office endometrial biopsy indicated well-differentiated villoglandular adenocarcinoma of the endometrium. The patient refused hysterectomy and would consent only to hysteroscopic resection. She remains alive and well, with no clinical evidence of recurrence 5 years after resection. We propose that skillful resectoscopic surgery, under specific circumstance, may be an appropriate alternative treatment to hysterectomy for some early uterine malignancies.
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