Vilos George A, Ettler Helen C, Edris Fawaz, Hollett-Caines Jackie, Abu-Rafea Basim
Department of Obstetrics and Gynecology, The University of Western Ontario, London, Ontario, Canada.
J Minim Invasive Gynecol. 2007 Jan-Feb;14(1):119-22. doi: 10.1016/j.jmig.2006.09.004.
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.
一名53岁的经产妇，无子宫内膜癌的可识别风险因素，出现月经过多。她曾接受过3年的口服避孕药治疗。门诊子宫内膜活检显示为高分化子宫内膜绒毛腺腺癌。患者拒绝子宫切除术，仅同意宫腔镜切除术。切除术后5年，她仍然健在，无复发的临床证据。我们认为，在特定情况下，熟练的宫腔镜手术可能是某些早期子宫恶性肿瘤子宫切除术的合适替代治疗方法。
