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Atypical polypoid adenomyoma: Retrospective study about 8 cases from Jeanne-de-Flandre Hospital between 1996 and 2008.
MedLine Citation:
PMID:  22306097     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: To propose a therapeutic approach and follow-up of patients with atypical polypoid adenomyoma (APA) wishing to remain fertile. PATIENTS AND METHOD: We are presenting a retrospective study of eight APA cases. RESULTS: Two patients immediately received radical treatment, and one patient had an endometrial thermocoagulation. The remaining five patients received a conservative treatment with ultrasound and hysteroscopic monitoring. Among them, two had full-term pregnancies, one is being treated for infertility, in one case, the APA disappeared after three hysteroscopy-curettages and macroprogestative treatment. Lastly, one of our patients died from an aggressive endometrioid ovarian bilateral tumour associated with an endometrial adenocarcinoma. DISCUSSION AND CONCLUSION: Radical treatment is necessary for cases of APA in women no longer wishing to remain fertile. For those wishing to remain fertile, we can offer a conservative treatment once they have been informed regarding the associated risk of relapse, degeneration, and ovarian lesions which necessitate stricter follow-up.
Authors:
E Clouqueur; J-P Lucot; P Collinet; M-O Farine; O Kerdraon; E Poncelet
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-3
Journal Detail:
Title:  Gynecologie, obstetrique & fertilite     Volume:  -     ISSN:  1769-6682     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-6     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100936305     Medline TA:  Gynecol Obstet Fertil     Country:  -    
Other Details:
Languages:  FRE     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Masson SAS. All rights reserved.
Affiliation:
Clinique de gynécologie-obstétrique, hôpital Jeanne-de-Flandre, 1, avenue Eugène-Avinée, 59037 Lille cedex, France.
Vernacular Title:
Adénomyome polypoïde atypique : série rétrospective de 8 cas survenus à l'hôpital Jeanne-de-Flandre entre 1996 et 2008.
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