Abstract
Objective. To substantiate indications for a differential approach in the treatment of patients with atypical endometrial hyperplasia. Materials and Methods. The results of surgical treatment in 132 patients with atypical endometrial hyperplasia have been studied. Results. Post-operative diagnosis was:endometrial cancer – in 19%, atypical hyperplasia – in 35%, simple and complex hyperplasia – in 33%, only atrophic endometrial changes – in 13% of patients. The tumor was within the endometrium in 5 patients, the superficial invasion of the myometrium (1-2 mm) were in 8 patients, invasion to half of the myometrium – in 9 patients, invasion of more than half of the myometrium – in 3 patients. Conclusion. The guestions of tactics of treatment of atypical endometrial hyperplasia is under discussion.
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