Conservative treatment may be beneficial for young women with atypical endometrial hyperplasia or endometrial adenocarcinoma.
OBJECTIVE
To evaluate whether an alternative treatment to radical hysterectomy exists for young women with endometrial adenocarcinoma.


METHODS
A review of the literature (70 articles) plus personal results.


METHODS
University hospital.


METHODS
Women with atypical endometrial hyperplasia or adenocarcinoma.


METHODS
The recurrence rate and the pregnancy rate after conservative therapy.


CONCLUSIONS
Conservative treatment of well-differentiated stage I endometrial adenocarcinoma can be considered in young patients, with close surveillance to diagnose any possible recurrence.
Jadoul
Pascale
P
Université Catholique de Louvain, Cliniques Universitaires St Luc, Department of Gynecology, Brussels, Belgium.
Donnez
Jacques
J
D000230:Adenocarcinoma / Q000175:diagnosis / Q000628:therapy*; D000328:Adult; D003937:Diagnosis, Differential; D004714:Endometrial Hyperplasia / Q000175:diagnosis / Q000628:therapy*; D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006801:Humans; D011379:Prognosis; D015203:Reproducibility of Results; D012307:Risk Factors