A case of endometrial cancer following endometrial ablation for dysfunctional uterine bleeding.
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.


METHODS
A patient presented with vaginal bleeding and was diagnosed with endometrial carcinoma 5 years after ablation of the superficial endometrium.


CONCLUSIONS
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.
Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, Connecticut.
A B
AB
Copperman
A H
AH
DeCherney
D L
DL
Olive
D000230:Adenocarcinoma / Q000209:etiology*; D017115:Catheter Ablation / Q000009:adverse effects*; D016889:Endometrial Neoplasms / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D014592:Uterine Hemorrhage / Q000601:surgery*