A case of endometrial cancer following endometrial ablation for dysfunctional uterine bleeding
Alan Barry Copperman, Alan H. DeCherney, David L. Olive
Abstract
Alan Barry Copperman, Alan H. DeCherney, David L. Olive
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.
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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.
Key concepts: Medicine, Endometrial ablation, Dysfunctional uterine bleeding, Endometrial cancer, Endometrium, Carcinoma, Ablation, Gynecology