| Autor: |
Roze Isono-Taniguchi, Hiroshi Tsubamoto, Kayo Inoue, Tomoko Ueda, Shinichiro Saeki, Yumi Takimoto, Yu Wakimoto, Hiroaki Shibahara |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Gynecology and Minimally Invasive Therapy, Vol 12, Iss 3, Pp 175-178 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2213-3070 |
| DOI: |
10.4103/gmit.gmit_98_22 |
| Popis: |
Endometrial cancer (EC) and atypical endometrial hyperplasia (AEH) are associated with obesity, which increases the perioperative morbidity and surgical difficulties in laparoscopic and robotic surgery. Weight-loss interventions (WLIs) are likely to reduce morbidity; however, delayed surgery may cause cancer progression. To minimize the tumor progression, levonorgestrel intrauterine system (LNG-IUS) with minimal side effects was used until the planned surgery. During 2016 and 2021, we conducted preoperative management of WLI using LNG-IUS for seven highly obese women with a body mass index (BMI) ≥35 kg/m2 who had AEH and EC with Grade 1 and no myometrial invasion on magnetic resonance imaging. In three of the seven patients, the BMI decreased by more than 5. Two patients with AEH achieved remission after LNG-IUS placement and requested conservative management. Five patients with EC underwent laparoscopic hysterectomy, without perioperative complications. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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