ENDOMETRIAL ABLATION - A REPORT OF 4 CASES

Three women had evidence of atypical endometrial hyperplasia at the ti me of endometrial ablation, discovered because they had mechanical pre paration of the endometrium rather than medical preparation. In one of these patients, a frozen section revealed atypical endometrial hyperp lasia, and the ablation was cancelled. A fourth woman had an unsuccess ful endometrial ablation; repeat ablation was followed by nine months of amenorrhea, at which time she began spotting and requested a hyster ectomy. The pathology report on the hysterectomy specimen revealed ade nomatous hyperplasia. Gynecologists must be vigilant in their evaluati on of the endometrium before, during and after endometrial ablation.