title: Endometrial adenocarcinoma in a 27-year-old woman.
abstract: BACKGROUND
  Endometrial adenocarcinoma usually occurs after menopause, but in 2%-14% of cases, it occurs in young patients (less than 40 years of age) who are eager to preserve their fertility. Its treatment includes hysterectomy, bilateral salpingo-oophorectomy and pelvic lymphadenectomy, and, in some cases, radiation therapy.
  
  
  OBJECTIVE
  To describe a case of endometrial adenocarcinoma occurring in a young woman and to undertake a literature review of risk factors and therapeutic options proposed for young women wishing to preserve their fertility.
  
  
  METHODS
  We report a case of endometrial cancer in a 27-year-old woman treated for resistant menorrhagia and cared for in our department as well as in the Salah Azaiez Institute.
  
  
  CONCLUSIONS
  Endometrial adenocarcinoma rarely occurs in young women. In such cases, other therapeutic options can be proposed: progesterone therapy and LH-RH (Luteinzing-Hormone-Releasing-Hormone) agonists therapy in order to preserve fertility in younger patients.
authors.affiliation: Department of Obstetrics and Gynecology, Aziza Othmana University Hospital. Place du Gouvernement, La Kasba 1008 Tunis, Tunisia.
authors.forename: Anis
authors.initials: A
authors.lastname: Fadhlaoui
authors.forename: Jamel
authors.initials: J
authors.lastname: Ben Hassouna
authors.forename: Mohamed
authors.initials: M
authors.lastname: Khrouf
authors.forename: Fethi
authors.initials: F
authors.lastname: Zhioua
authors.forename: Anis
authors.initials: A
authors.lastname: Chaker