Objective: To evaluate whether an alternative treatment to radical hysterectomy exists for young women with endometrial adenocarcinoma.
Design: A review of the literature (70 articles) plus personal results.
Setting: University hospital.
Patient(s): Women with atypical endometrial hyperplasia or adenocarcinoma.
Main outcome measure(s): The recurrence rate and the pregnancy rate after conservative therapy.
Conclusion(s): Conservative treatment of well-differentiated stage I endometrial adenocarcinoma can be considered in young patients, with close surveillance to diagnose any possible recurrence.