子宫内膜癌是常见的妇科恶性肿瘤,多数发生在绝经后女性。传统治疗方法切除了全子宫及双附件,使患者丧失生育功能。目前,文献报道了较多关于子宫内膜癌保守治疗成功的案例,使得年轻的早期患者保留了生育功能。但保留子宫存在肿瘤复发的风险。且药物的剂量、治疗时间,患者的入选标准、随访等尚未达成共识。现就保守治疗的可行性及这些相关问题做一综述。 Endometrial cancer is a common gynecologic malignancy, most of which occur in postmenopausal women. Traditional methods of treatment removed the whole uterus and double attachments, so that patients lose their reproductive function. At present, the literature reports more cases of successful conservative treatment of endometrial cancer, enabling young early patients to retain the reproductive function. However, there is a risk of tumor recurrence in the uterus. And the dose of medicine, treatment time, patient selection criteria, follow-up, etc. have not yet reached a consensus. Now on the feasibility of conservative treatment and these related issues to be reviewed.