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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.

About the Authors

Iu. Iu. Tabakman
Clinical Oncology Dispensary number 1 Department of Health in Moscow
Russian Federation

MD, professor of the Department of Obstetrics and Gynecology, Faculty of Medical and Preventive Medicine First Moscow Medical Sechenov University,

Honoured Doctor of the Russian Federation, radiologist of the highest qualification category, manager radioisotope laboratory diagnostics, 

ul. Baumanskaya, 17/1, Moscow, 105005

A. G. Solopova
First Moscow State Medical Sechenov University of the Ministry of Health Russian Federation
Russian Federation

MD, Professor of Department of Obstetrics and Gynecology,

Trubetskaya str., 8, p. 1, Moscow, 119991

A. Kh. Bishtavi
Moscow state University of Medical and Dentistry named after Evdokimov of the Ministry of Health Russian Federation
Russian Federation

PhD, Assistent Professor, Department of Obstetrics and Gynecology, 

ul. Delegatskaia, 20/1, Moscow, 127473

L. E. Idrisova
First Moscow State Medical Sechenov University of the Ministry of Health Russian Federation
Russian Federation

PhD, researcher at the Department of the Ob/Gyn Department,

ul. Zemlyanoi Val, 62-1, Moscow, 109004


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For citations:

Tabakman I.I., Solopova A.G., Bishtavi A.K., Idrisova L.E. ENDOMETRIAL PRECANCER: DEFINITION OF CONCEPTS, TACTICS. Obstetrics, Gynecology and Reproduction. 2016;10(2):32-36. (In Russ.)

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ISSN 2313-7347 (Print)
ISSN 2500-3194 (Online)