Adenocarcinoma of the endometrium after endometrial ablation

Obstet Gynecol. 2000 Nov;96(5 Pt 2):836-7.


Background: Endometrial ablation is a relatively new technique for treating abnormal uterine bleeding not associated with malignancy. Long-term outcome data after endometrial ablation are limited, and incidence of endometrial adenocarcinoma after ablation is unknown.

Case: A 55-year-old black woman who had endometrial ablation for abnormal uterine bleeding after excluding uterine cancer presented 5 years later with similar symptoms and a histologic diagnosis of well-differentiated adenocarcinoma of the uterus. She refused surgery and had radiation treatment for probable stage I endometrial adenocarcinoma.

Conclusion: It is unlikely in this high-risk patient that the endometrial ablation masked an undetected malignancy or delayed the diagnosis. Given the interval, the adenocarcinoma might have occurred de novo.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / diagnosis*
  • Adenocarcinoma / etiology
  • Catheter Ablation*
  • Endometrial Neoplasms / diagnosis*
  • Endometrial Neoplasms / etiology
  • Endometrium / pathology
  • Female
  • Humans
  • Middle Aged
  • Postoperative Period
  • Uterine Hemorrhage / therapy*