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Postablation Endometrial Carcinoma
BACKGROUND: Many women have undergone both resectoscopic and nonresectoscopic (or global) endometrial ablation (EA) during the past 20 years. These women are now approaching their sixth and seventh decades of life, a time frame in which endometrial carcinoma (EC) is most frequently diagnosed. DATABA...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Society of Laparoendoscopic Surgeons
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5444558/ https://www.ncbi.nlm.nih.gov/pubmed/28584500 http://dx.doi.org/10.4293/JSLS.2017.00011 |
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author | Wortman, Morris Vilos, George A. Vilos, Angelos G. Abu-Rafea, Basim Dwyer, Wendy Spitz, Robert |
author_facet | Wortman, Morris Vilos, George A. Vilos, Angelos G. Abu-Rafea, Basim Dwyer, Wendy Spitz, Robert |
author_sort | Wortman, Morris |
collection | PubMed |
description | BACKGROUND: Many women have undergone both resectoscopic and nonresectoscopic (or global) endometrial ablation (EA) during the past 20 years. These women are now approaching their sixth and seventh decades of life, a time frame in which endometrial carcinoma (EC) is most frequently diagnosed. DATABASE: In several reports, surgeons have expressed concern that endometrial ablation may leave a sequestered island of EC that may escape detection, possibly delaying its diagnosis or causing it to appear at an advanced stage. Others suggest that EA artifact does not hinder the evaluation and treatment planning in the presence of EC. Data bases used are from Medline and PubMed. DISCUSSION: We introduce 6 new cases of postablation endometrial carcinoma (PAEC), 4 of which occurred after the introduction of global endometrial ablation (GEA) techniques. In addition, we examine several key questions regarding the impact of EA on the subsequent development of EC, including the manner in which PAEC presents, the efficacy of traditional diagnostic modalities, the ablation-to-cancer interval, and the stage of PAEC at the time of diagnosis. Finally, we explore the use of reoperative hysteroscopic surgery (RHS) as a diagnostic modality and address the possible role ultrasound surveillance as a screening method for women at risk of EC. |
format | Online Article Text |
id | pubmed-5444558 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-54445582017-06-05 Postablation Endometrial Carcinoma Wortman, Morris Vilos, George A. Vilos, Angelos G. Abu-Rafea, Basim Dwyer, Wendy Spitz, Robert JSLS Case Series BACKGROUND: Many women have undergone both resectoscopic and nonresectoscopic (or global) endometrial ablation (EA) during the past 20 years. These women are now approaching their sixth and seventh decades of life, a time frame in which endometrial carcinoma (EC) is most frequently diagnosed. DATABASE: In several reports, surgeons have expressed concern that endometrial ablation may leave a sequestered island of EC that may escape detection, possibly delaying its diagnosis or causing it to appear at an advanced stage. Others suggest that EA artifact does not hinder the evaluation and treatment planning in the presence of EC. Data bases used are from Medline and PubMed. DISCUSSION: We introduce 6 new cases of postablation endometrial carcinoma (PAEC), 4 of which occurred after the introduction of global endometrial ablation (GEA) techniques. In addition, we examine several key questions regarding the impact of EA on the subsequent development of EC, including the manner in which PAEC presents, the efficacy of traditional diagnostic modalities, the ablation-to-cancer interval, and the stage of PAEC at the time of diagnosis. Finally, we explore the use of reoperative hysteroscopic surgery (RHS) as a diagnostic modality and address the possible role ultrasound surveillance as a screening method for women at risk of EC. Society of Laparoendoscopic Surgeons 2017 /pmc/articles/PMC5444558/ /pubmed/28584500 http://dx.doi.org/10.4293/JSLS.2017.00011 Text en © 2017 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Case Series Wortman, Morris Vilos, George A. Vilos, Angelos G. Abu-Rafea, Basim Dwyer, Wendy Spitz, Robert Postablation Endometrial Carcinoma |
title | Postablation Endometrial Carcinoma |
title_full | Postablation Endometrial Carcinoma |
title_fullStr | Postablation Endometrial Carcinoma |
title_full_unstemmed | Postablation Endometrial Carcinoma |
title_short | Postablation Endometrial Carcinoma |
title_sort | postablation endometrial carcinoma |
topic | Case Series |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5444558/ https://www.ncbi.nlm.nih.gov/pubmed/28584500 http://dx.doi.org/10.4293/JSLS.2017.00011 |
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