Considerations for performing microwave endometrial ablation (MEA) – Three cases with abnormal test results of endometrial tissue discovered by chance when performing MEA

Toshiyuki Kakinuma; Kaoru Kakinuma; Hirokazu Tanaka; Michitaka Ohwada

doi:10.1080/02656736.2020.1781267

Considerations for performing microwave endometrial ablation (MEA) – Three cases with abnormal test results of endometrial tissue discovered by chance when performing MEA

Toshiyuki Kakinuma, Kaoru Kakinuma, Hirokazu Tanaka, Michitaka Ohwada

International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2020 · vol. 37(1) , pp. 749–752 · doi:10.1080/02656736.2020.1781267 · PMID:32619375 · W3040682399

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Abstract

Introduction Microwave endometrial ablation (MEA) is beginning to be used widely in Japan as a minimally invasive alternative to conventional total hysterectomy for functional hypermenorrhea, uterine fibroids, hypermenorrhea due to organic diseases such as uterine adenomyosis, and acute heavy uterine bleeding. Method MEA was introduced in our hospital in January 2016. It is performed after a screening via cytodiagnosis and histodiagnosis to ensure that there are no malignant diseases in the uterus. Histopathological examination by endometrial curettage during MEA revealed three cases of endometrial abnormalities. In all cases, radical surgery was performed, the postoperative course was good, and no recurrence was observed. Here, we report three cases in which abnormal endometrial tissue findings were observed in histopathologic examinations via total endometrial curettage during MEA. Conclusion When performing MEA, it is important to perform detailed examinations and careful monitoring of post-operative progress bearing in mind potential malignant uterine diseases.

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Condition tags

adenomyosis

MeSH descriptors

Adenomyosis Adenomyosis Adenomyosis Endometrial Ablation Techniques Menorrhagia Female Humans Microwaves Neoplasm Recurrence, Local

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Cites (1)

Uterine thermal balloon therapy for the treatment of menorrhagia: the first 300 patients from a multi‐centre study 1998

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[1] Uterine thermal balloon therapy for the treatment of menorrhagia: the first 300 patients from a multi‐centre study 1998