TACTICS OF MANAGEMENT OF PATIENTS WITH ATYPICAL ENDOMETRIAL HYPERPLASIA (LITERATURE REVIEW)

In the past few years, there has been a gain in the prevalence of hyperplastic processes of the reproductive system in women, among which atypical endometrial hyperplasia (AEH) occupies a special place. Such peculiarities of the clinical manifestation of this disease as the high prevalence, relapsing course, reduced reproductive function and high risk of malignancy reflect the urgency of the problem of prevention and increasing the effectiveness of treatment of endometrial hyperplastic processes. The purpose of the study is to analyze the data presented in modern literature on the tactics of management and treatment of AEH patients. Different tactics of management of AHE patients with effective methods of treating these patients are considered. Hysteroresectoscopy of hyperplastic areas before high-dose progestin therapy has been established to be a safe and highly effective approach to the management and treatment of AEH patients wanted to maintain their fertility. However, organ-preserving treatment must necessarily be accompanied by careful dynamic observation by the gynecologist or oncogynecologist. The optimal method of treating patients in pre- and postmenopausal disease is radical surgical treatment in the amount of extirpation of the uterus with appendages, which should be considered justified for this category of patients.