successful treatment of early endometrial carcinoma by local delivery of levonorgestrel a case report成功治疗早期子宫内膜癌由当地交付levonorgestrel案例报告.pdfVIP

Hindawi Publishing Corporation Obstetrics and Gynecology International Volume 2010, Article ID 431950, 4 pages doi:10.1155/2010/431950 Case Report Successful Treatment of Early Endometrial Carcinoma by Local Delivery of Levonorgestrel: A Case Report D. Wildemeersch,1 E. Anderson,2 K. Lambein,3 P. Pauwels,3 and M. Dhont4 1 Gynecological Outpatient Clinic and Training Center, Rooseveltlaan 43/44, 9000 Ghent, Belgium 2 Woman To Woman Total Care, 3411 North 5th Avenue, AZ 85013, USA 3 Goormaghtigh Institute of Pathology, University Hospital Ghent, 9000 Ghent, Belgium 4 Department of Obstetrics and Gynecology, University Hospital Ghent, 9000 Ghent, Belgium Correspondence should be addressed to D. Wildemeersch, dirk.wildemeersch@contrel.be Received 25 July 2010; Accepted 31 August 2010 Academic Editor: Curt W. Burger Copyright © 2010 D. Wildemeersch et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. We describe a case of a 67-year-old Caucasian woman with an early, moderately-differentiated adenocarcinoma of the endometrium. A levonorgestrel-releasing intrauterine system was inserted, which she tolerated well. A full DC, following removal of the device, was performed after 9 months, confirming absence of tumoral tissue. Examination after 24 months showed a very thin endometrium, indicating complete remission. 1. Introduction a moderately differentiated invasive adenocarcinoma of the endometrium who was successfully treated with the LNG- An a