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Management of Endometrial Hyperplasia: A Survey of Members of the Korean Gynecologic Oncology Group

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Affiliated Author(s)
권상훈
Alternative Author(s)
Kwon, Sang Hoon
Journal Title
International Journal of Gynecological Cancer
ISSN
1048-891X
Issued Date
2015
Keyword
Endometrial hyperplasiaSurveyLNG-IUSProgestogens
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 evaluationmethod, 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.
Department
Dept. of Obstetrics & Gynecology (산부인과학)
Publisher
School of Medicine
Citation
Jae-Weon Kim et al. (2015). Management of Endometrial Hyperplasia: A Survey of Members of the Korean Gynecologic Oncology Group. International Journal of Gynecological Cancer, 25(7), 1277–1284. doi: 10.1097/IGC.0000000000000483
Type
Article
ISSN
1048-891X
DOI
10.1097/IGC.0000000000000483
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32993
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Obstetrics & Gynecology (산부인과학)
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