A B Copperman1, A H DeCherney, D L Olive. 1. Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, Connecticut.
Abstract
BACKGROUND: A concern voiced by critics of endometrial ablation is the possibility that cryptic endometrial adenocarcinoma may develop after such ablation. To date, this concern has been theoretical. CASE: A patient presented with vaginal bleeding and was diagnosed with endometrial carcinoma 5 years after ablation of the superficial endometrium. CONCLUSION: The possibility exists for endometrial carcinoma to develop years after endometrial ablation. Careful patient selection, thorough evaluation of any post-procedure bleeding, careful postoperative surveillance, and continued evaluation of the procedure and its long-term efficacy are indicated.
BACKGROUND: A concern voiced by critics of endometrial ablation is the possibility that crypticendometrial adenocarcinoma may develop after such ablation. To date, this concern has been theoretical. CASE: A patient presented with vaginal bleeding and was diagnosed with endometrial carcinoma 5 years after ablation of the superficial endometrium. CONCLUSION: The possibility exists for endometrial carcinoma to develop years after endometrial ablation. Careful patient selection, thorough evaluation of any post-procedure bleeding, careful postoperative surveillance, and continued evaluation of the procedure and its long-term efficacy are indicated.
Authors: Robert L Dood; Clarisa R Gracia; Mary D Sammel; Kevin Haynes; Suneeta Senapati; Brian L Strom Journal: J Minim Invasive Gynecol Date: 2014-02-28 Impact factor: 4.137