Jadoul P, Donnez J. Conservative treatment may be beneficial for young women with atypical endometrial hyperplasia or endometrial adenocarcinoma.
Fertil Steril 2004;
80:1315-24. [PMID:
14667859 DOI:
10.1016/s0015-0282(03)01183-x]
[Citation(s) in RCA: 97] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
OBJECTIVE
To evaluate whether an alternative treatment to radical hysterectomy exists for young women with endometrial adenocarcinoma.
DESIGN
A review of the literature (70 articles) plus personal results.
SETTING
University hospital.
PATIENT(S)
Women with atypical endometrial hyperplasia or adenocarcinoma.
MAIN OUTCOME MEASURE(S)
The recurrence rate and the pregnancy rate after conservative therapy.
CONCLUSION(S)
Conservative treatment of well-differentiated stage I endometrial adenocarcinoma can be considered in young patients, with close surveillance to diagnose any possible recurrence.
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