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. 2010 Oct 25;3(3):380–385. doi: 10.1159/000321731

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