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A case of endometrial cancer following endometrial ablation for dysfunctional uterine bleeding
A B Copperman1, A H DeCherney, D L Olive
1Department of Obstetrics and Gynecology, Yale University School of Medicine, New Haven, Connecticut.
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.