title: Endometrioid adenocarcinoma treated by hysteroscopic endomyometrial resection.
abstract: A 53-year-old multiparous woman, with no identifiable risk factor for endometrial cancer, presented with menorrhagia. She had been treated with oral contraceptives for 3 years. Office endometrial biopsy indicated well-differentiated villoglandular adenocarcinoma of the endometrium. The patient refused hysterectomy and would consent only to hysteroscopic resection. She remains alive and well, with no clinical evidence of recurrence 5 years after resection. We propose that skillful resectoscopic surgery, under specific circumstance, may be an appropriate alternative treatment to hysterectomy for some early uterine malignancies.
authors.affiliation: Department of Obstetrics and Gynecology, The University of Western Ontario, London, Ontario, Canada. george.vilos@sjhc.london.on.ca
authors.forename: George A
authors.initials: GA
authors.lastname: Vilos
authors.forename: Helen C
authors.initials: HC
authors.lastname: Ettler
authors.forename: Fawaz
authors.initials: F
authors.lastname: Edris
authors.forename: Jackie
authors.initials: J
authors.lastname: Hollett-Caines
authors.forename: Basim
authors.initials: B
authors.lastname: Abu-Rafea
mesh_terms: D018269:Carcinoma, Endometrioid / Q000473:pathology / Q000601:surgery*; D004714:Endometrial Hyperplasia / Q000473:pathology*; D016889:Endometrial Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008875:Middle Aged; D016896:Treatment Outcome