Management of Endometrial Hyperplasia: A Survey of Members of the Korean Gynecologic Oncology Group
- Abstract
- OBJECTIVES: This study aimed to investigate the current management of endometrial hyperplasia (EH) in Korea. MATERIALS AND METHODS: This was an electronic survey, which included 40 questions, that was distributed to the members of the Korean Gynecologic Oncology Group in 2014. RESULTS: In total, 50 (69%) of 72 members responded to the survey. The oral progestogens were the most popular choices for managing EH without atypia (simple hyperplasia(SH), 64%; complex hyperplasia (CH), 52%). In the case of CH with atypia, most of the gynecologist respondents would perform hysterectomy (95.9%). For fertility preservation, the oral progestogens were the most popular choices (SH, 75.5%; CH, 56.3%), followed by the levonorgestrel-releasing intrauterine system (LNG-IUS). More than 70% of the respondents reported use of dilatation and curettage as a follow-up method. CONCLUSIONS: Our survey results show that most of Korean gynecologic oncologists still prefer oral progestogens for conservative management of EH, notwithstanding the many successful reports on the LNG-IUS. As a follow-up evaluation method, dilatation and curettage is mostly used. To identify the optimum therapy, a randomized controlled trial comparing the LNG-IUS with continuous oral progestogens is required. Furthermore, a large-scale prospective study to confirm the most reliable technique for follow-up evaluation is necessary.
- All Author(s)
- M. K. Kim
; S. J. Seong
; J. W. Kim
; D. S. Bae
; S. Jeon
; S. H. Kwon
; T. S. Lee
- Issued Date
- 2015
- Type
- Article
- Keyword
- Combined Modality Therapy; Contraceptive Agents, Female/*therapeutic use; Disease Management; Endometrial Hyperplasia/pathology/*therapy; Female; Follow-Up Studies; Humans; *Hysterectomy; Intrauterine Devices, Medicated; Levonorgestrel/*therapeutic use; Middle Aged; Neoplasm Staging; Prognosis; Republic of Korea
- Publisher
- International Gynecological Cancer Society
- ISSN
- 1048-891x
- Citation Title
- International Journal of Gynecologic Cancer
- Citation Volume
- 25
- Citation Number
- 7
- Citation Start Page
- 1277
- Citation End Page
- 1284
- Language(ISO)
- eng
- DOI
- 10.1097/igc.0000000000000483
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/3290
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