Abstract

We incidentally experienced a case of leiomyoma with latent endometrial carcinoma treated with microwave endometrial ablation (MEA) to control massive menorrhagia by leiomyoma. In the endometrial curettage sample which was obtained during MEA treatment, well differentiated endometrial carcinoma with minimum myometrium invasion was found. The total hysterectomy with both adnexetomy was performed 40 days after MEA. The detail histological examination of excised uterus, both tubes and ovaries had no remaining endometrial carcinoma tissues except for presumable degenerated carcinoma cells within 4 mm depth in myometrium.This report indicates some early case of endometrial carcinoma could be treated with MEA.

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