Evidence mapPaperPMID 40927520Full record

ArticleFrontiers in oncology2025

Application of MRI-guided hysteroscopic one-step resection in preserving the fertility of early endometrial cancer patients.

Yi Yu, Lu Zhang, Long Sui, Hongwei Zhang, Limei Chen

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Article in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Yi Yu *Hysteroscopy Center, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China.
Lu Zhang *Hysteroscopy Center, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China.
Long SuiHysteroscopy Center, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China.
Hongwei ZhangHysteroscopy Center, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China.
Limei ChenHysteroscopy Center, Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to evaluate the role of MRI-guided hysteroscopic one-step precise resection in diagnosing suspected myometrial invasion (MI) of endometrial cancer (EC) in patients desiring fertility preservation and to analyze the impact of suspected MI on the outcomes of fertility-preserving treatments. Methods: A total of 169 patients with early-stage endometrial cancer who required fertility preservation were enrolled. Among them, 103 cases were ruled out for myometrial invasion by MRI (control group), while 66 cases exhibited suspected myometrial invasion. MRI-guided hysteroscopic one-step resection, which involved the removal of the endometrial lesion, the underlying basal layer, and 3-5 mm of myometrium, was performed for pathological examination. Patients with pathological exclusion of myometrial invasion received fertility-preserving treatment, and their clinical characteristics and treatment outcomes were compared with those of the control group. Results: Based on the precise diagnosis of MRI-guided hysteroscopic one-step resection, 14 of the 66 patients with suspected myometrial invasion were confirmed by pathology and were included in the MI group for surgical treatment. The remaining 52 patients with no evidence of myometrial invasion were included in the non-MI group and received fertility-preserving treatment. The cumulative complete remission rate in the non-MI group was lower than that in the control group at 6 months (24.9% vs. 59.0%, Conclusion: MRI-guided hysteroscopic one-step resection can accurately diagnose the presence of myometrial invasion in early endometrial cancer, which helps about 79% of patients preserve their fertility compared with MRI evaluation alone. Hysteroscopic resection of endometrial lesions, high-dose progesterone treatment, and follow-up are important for the successful fertility-preserving treatment of patients with early endometrial cancer.

Indexed as

endometrial cancer (EC)fertility-preserving treatmenthysteroscopic one-step resectionmagnetic resonance imaging (MRI)myometrial invasion (MI)

Identifiers

PMID40927520
PMCPMC12414735

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.