Conservative management of endometrial carcinoma with prolonged preservation of the uterus in a young patient

We report the case of a 30-year-old woman treated conservatively after the diagnosis of early, well-differentiated endometrial carcinoma. After diagnosis by means of Vabra aspiration, the patient was followed closely by means of repeat hysteroscopies, without evidence of recurrence. The patient conceived twice, 8 and 29 months respectively after initial diagnosis, and delivered vaginally two healthy infants. The patient remains alive with no evidence of disease and with preserved uterus 52 months after the first diagnosis of cancer. Conservative treatment of early, well-differentiated endometrial carcinoma in young women is feasible after adequate selection and full information to the patient. Hysterectomy after fullfillment of the wish of fertility remains a matter of discussion.