Table 1.
Summary of reported cases of endometrial carcinoma treated with progesterone-IUD or LNG-IUS
| Author year reference | No. of cases | Age years | Associated condition | Presenting symptom | Clinical staging/ initial histology | Treatment | Follow-up response |
|---|---|---|---|---|---|---|---|
| Montz et al., 2002 [19] | 1–12 | endometrioid carcinoma stage I, grade 1 | Progestasert® | 7 of 11 cases showed negative malignant endometrial cells at treatment month 6. 6 of 8 cases showed negative malignant endometrial cells at treatment month 12 | |||
| Baha-mondes et al., 2003 [12] | 1 |
31 |
morbid obesity |
menorrhagia |
endometrial carcinoma stage I, grade 1 |
LNG-IUS |
7 months after insertion, pathological report of radical hysterectomy revealed grade 1 endometrioid carcinoma restricted to the endometrial mucosa |
| 2 | 62 | morbid obesity | postmeno-pausal bleeding | endometrial carcinoma stage I, grade 1 | LNG-IUS | 6 months after insertion, pathological report of radical hysterectomy revealed grade 1 mixed endometrioid and mucinous well-differentiated adenocarcinoma with invasion of half of the myometrium | |
| Gianno-poulos et al., 2004 [13] | 1 | 78 | Morbid obesity, hypertension, coronary artery disease | postmeno-pausal bleeding | endometrial adenocarcinoma background of atypical hyperplasia stage I, grade 1 | LNG-IUS and MPA 400 mg/day | Predominantly pseudodecidualised stroma with small inactive glands at treatment month 5 |
| Dhar et al., 2005 [11] | 1 |
64 |
obesity, diabetes mellitus |
postmeno-pausal bleeding |
endometrial adenocarcinoma background of atypical hyperplasia/stage I, grade 1 |
LNG-IUS |
Inactive endometrium at treatment month 6 and remission at treatment month 36 |
| 2 |
73 |
obesity, diabetes mellitus, chronic lymphatic leukemia |
postmeno-pausal bleeding |
endometrial adenocarcinoma background of atypical hyperplasia/stage I, grade 1 |
LNG-IUS |
Hysterectomy was performed (at treatment month 6 after insertion) due to persistence of bleeding, histopathological report still showed grade 1 endometrial adenocarcinoma |
|
| 3 |
80 |
obesity, diabetes mellitus, multiple cardiovascular accident |
postmeno-pausal bleeding |
endometrial adenocarcinoma stage I, grade 1 |
LNG-IUS |
Intermittent symptom, died of pneumonia at month 24 after insertion |
|
| 4 | 73 | obesity, diabetes mellitus, aortic stenosis, left brachial embolectomy | postmeno-pausal bleeding | endometrial adenocarcinoma stage I, grade 1 | LNG-IUS | Persistent of diseases at treatment month 18, histopathological report still showed endometrioid adenocarcinoma | |