Acta Scientific Women's Health

Case Report Volume 7 Issue 2

Transcervical Hysteroscopic Resection of Endometrial Stromal Nodule (SEN): Fertility Preservation Approach

Javier Enrique Oviedo Venerio1-4*, Maria Teresa Zelaya5 and Darling Valverde6

1Undergraduate Professor, School of Medicine, UNAN León, Nicaragua
2Specialist in Gynecology and Obstetrics, UNAN León, Nicaragua
3Diploma in Surgical Diagnostic Hysteroscopy, Gea González Hospital, Mexico
4Advanced Gynecological Surgery, Hospital Ángeles Lomas, Mexico
5Specialist in Gynecology and Obstetrics, Minsa Unan – Leon, Nicaragua
6Specialist in Pathology, Undergraduate Professor in Pathology, UNAN-LEON School of Medicine, Nicaragua

*Corresponding Author: Javier Enrique Oviedo Venerio, Undergraduate Professor, School of Medicine, UNAN León, Nicaragua.

Received: January 08, 2025; Published: January 23, 2025

Abstract

Case of a 30-year-old childless patient with intermenstrual uterine bleeding and moderate dysmenorrhea, initially diagnosed with a 4 cm type 0 submucosal fibroid by 2D ultrasound. A transcervical myomectomy was scheduled by bipolar resectoscopy; however, the definitive diagnosis was an Endometrial Stromal Nodule (SEN), determined after postoperative histopathological evaluation. The purpose of the treatment is to preserve her uterus and improve the patient's quality of life.

Keywords: Endometrial Stromal Nodule (SEN); Ultrasound

References

  1. Lasmar RB and Mendes M M. “A modified classification system for assessing myometrial infiltration and the complexity of myoma resection using hysteroscopy”. Journal of Minimally Invasive Gynecology7 (2018): 1312-1316.
  2. Buller RE and Gattuso J. “Endometrial stromal nodules: Histopathology, diagnosis, and management”. Obstetrics and Gynecology Clinics of North America3 (2019): 513-524.
  3. American College of Obstetricians and Gynecologists (ACOG). “Practice Bulletin No. 177: Management of Submucous Uterine Fibroids”. Obstetrics and Gynecology5 (2020): e142-e157.
  4. Patel S K and Sabatini M R. “Endometrial stromal tumors: Review of pathologic features and clinical outcomes”. Journal of Clinical Pathology4 (2015): 300-307.
  5. Society of Obstetric and Gynecologic Endoscopy (SAGE). “Guideline for the hysteroscopic management of submucosal fibroids and polyps”. Journal of Gynecological Surgery4 (2017): 48-55.
  6. Tomioka R and Koike S. “Hysteroscopic myomectomy: Recent advances and challenges”. Journal of Obstetrics and Gynaecology Research6 (2015): 927-935.
  7. American Association of Gynecologic Laparoscopists (AAGL). “Recommendations for performing office-based hysteroscopy and resectoscopy”. Journal of Minimally Invasive Gynecology5 (2017): 856-867.

Citation

Citation: Javier Enrique Oviedo Venerio., et al. “Transcervical Hysteroscopic Resection of Endometrial Stromal Nodule (SEN): Fertility Preservation Approach".Acta Scientific Women's Health 7.2 (2025): 17-19.

Copyright

Copyright: © 2025 Javier Enrique Oviedo Venerio., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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