¿Hiperplasia endometrial atípica o adenocarcinoma de endometrio? Un reto

ResumenObjetivoConocer la prevalencia de adenocarcinoma de endometrio en pacientes con diagnóstico de hiperplasia endometrial atípica tras biopsia endometrial.Pacientes y métodosVeinte pacientes con diagnóstico de hiperplasia endometrial atípica tras biopsia endometrial histeroscópica en consulta y/o tras resección endometrial histeroscópica en quirófano.ResultadosSe realizó una histerectomía a 15 pacientes y se encontraron 8 casos de adenocarcinoma de endometrio. Dos pacientes fueron reintervenidas mediante laparoscopia para realizar una linfadenectomía.

ObjectiveTo determine the prevalence of endometrial adenocarcinoma in patients with a diagnosis of atypical endometrial hyperplasia after endometrial biopsy.Patients and methodsTwenty patients with a diagnosis of atypical endometrial hyperplasia after endometrial biopsy by means of office hysteroscopy and/or after endometrial resection by means of operative hysteroscopy.ResultsHysterectomy was performed in 15 patients and eight cases of endometrial adenocarcinoma were found. Reintervention was required in two patients, who underwent laparoscopic lymphadenectomy.