ENDOMETRIAL PRECANCER: DEFINITION OF CONCEPTS, TACTICS

Abstract

Objective. To substantiate indications for a differential approach in the treatment of patients with atypical endometrial hyperplasia.Materials and Methods.The results of surgical treatment in 132 patients with atypical endometrial hyperplasia have been studied.Results. Post-operative diagnosis was:endometrial cancer – in 19%, atypical hyperplasia – in 35%, simple and complex hyperplasia – in 33%, only atrophic endometrial changes – in 13% of patients. The tumor was within the endometrium in 5 patients, the superficial invasion of the myometrium (1-2 mm) were in 8 patients, invasion to half of the myometrium – in 9 patients, invasion of more than half of the myometrium – in 3 patients.Conclusion. The guestions of tactics of treatment of atypical endometrial hyperplasia is under discussion.

Keywords

• atypical endometrial hyperplasia
• endometrial precancer
• tactics of treatment