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Endometrial cancer in a woman undergoing hysteroscopy for recurrent IVF failure
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. Uppsala Univ Hosp, Ctr Reprod, S-75185 Uppsala, Sweden.;Karolinska Inst, LIME NASP C7, S-17177 Stockholm, Sweden..ORCID iD: 0000-0003-1568-4575
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health. Uppsala Univ Hosp, Ctr Reprod, S-75185 Uppsala, Sweden..
2017 (English)In: Gynecological Surgery, ISSN 1613-2076, E-ISSN 1613-2084, Vol. 14, UNSP 4Article in journal (Refereed) Published
Abstract [en]

Background: Hysteroscopy, despite being the undisputed gold standard for the examination of the uterine cavity, is controversial as a routine procedure in infertile women. However, benign intrauterine conditions are common in women suffering repeated in vitro fertilization (IVF) failure, and growing evidence suggests a unique diagnostic and therapeutic role for hysteroscopy. Endometrial malignancy, on the contrary, is unreported by large published series of women with repeated IVF failures undergoing hysteroscopy, and its impact on fertility, for obvious reasons, has not been studied. Results: An unsuspected endometrial cancer was diagnosed in an asymptomatic 38-year-old woman undergoing hysteroscopy because of several repeated failures of in vitro fertilization and embryo transfer. Conclusions: Endometrial cancer can be found at hysteroscopy in young women with repeated IVF failures. The possibility of repeatedly unsuccessful fertility treatments should be taken into account when counseling infertile women about conservative treatment of endometrial cancer.

Place, publisher, year, edition, pages
2017. Vol. 14, UNSP 4
Keyword [en]
Embryo transfer, Endometrial cancer, Hysteroscopy, Implantation failure, In vitro fertilization
National Category
Surgery
Identifiers
URN: urn:nbn:se:uu:diva-323463DOI: 10.1186/s10397-017-1009-1ISI: 000400556500001PubMedID: 28603472OAI: oai:DiVA.org:uu-323463DiVA: diva2:1156936
Available from: 2017-11-14 Created: 2017-11-14 Last updated: 2017-11-14

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