Background and Objective: A polypoid uterine hemangioendothelioma was
treated by conservative means. Study Design/Materials and Methods: The
diagnosis of hemangioendothelioma was confirmed by histopathology and
angiography. The patient desired to retain her fertility; therefore,
the hemangioendothelioma was treated by hysteroscopically guided Nd:YA
G laser ablation. Results: Five years of follow-up by hysteroscopy and
dilation and curettage reveal no evidence of recurrence. The patient
continues to have regular menses. Conclusion: Conservative management
of a uterine hemangioendothelioma by Nd:YAG; laser ablation was succes
sful over 5 years of follow-up. (C) 1996 Wiley-Liss, Inc.