Role of Bariatric Surgery in Patients With Endometrial Cancer: A Case Report and Review of Literature.

Maliheh Arab, Azadeh Jafari Ashtiani, Behnaz Ghavami, Behnaz Nouri, Giti Noghabaei, Masoomeh Raoufi
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Abstract

Objective: The standard surgery for endometrial cancer can be deferred in some situations, including morbid obesity, comorbidities, and the patient's desire for fertility. One of the options to improve patients' circumstances is bariatric surgery.

Case report: This study presented two patients with stage IA, grade I endometrioid endometrial adenocarcinoma. Both patients had morbid obesity and had comorbidities. In case 1, because of fertility preservation, and in case 2, because of severe comorbidities, hormone therapy was started, followed by bariatric surgery after counseling patients. Both patients had acceptable changes in body mass index during follow-up, so cancer surgery through laparoscopy was done. Both patients did not need adjuvant therapy; months after cancer surgery, there is no recurrence, and their body mass index is also decreasing.

Conclusion: Bariatric surgery can improve outcomes in patients with morbid obesity who suffer endometrial cancer.

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减肥手术在子宫内膜癌患者中的作用:病例报告与文献综述
目的:在某些情况下,包括病态肥胖、合并症和患者希望生育等,子宫内膜癌的标准手术可以推迟。减肥手术是改善患者情况的选择之一:本研究介绍了两名子宫内膜腺癌IA期I级患者。这两名患者都有病态肥胖和合并症。在病例 1 中,由于要保留生育能力,而在病例 2 中,由于严重的合并症,患者开始接受激素治疗,随后在对患者进行咨询后接受了减肥手术。在随访期间,两名患者的体重指数都有可接受的变化,因此通过腹腔镜进行了癌症手术。结论:减肥手术可以改善癌症患者的预后:结论:减肥手术可以改善病态肥胖子宫内膜癌患者的预后。
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发文量
30
审稿时长
5 weeks
期刊介绍: The Journal of Family & Reproductive Health (JFRH) is the quarterly official journal of Vali–e–Asr Reproductive Health Research Center. This journal features fulllength, peerreviewed papers reporting original research, clinical case histories, review articles, as well as opinions and debates on topical issues. Papers published cover the scientific and medical aspects of reproductive physiology and pathology including genetics, endocrinology, andrology, embryology, gynecologic urology, fetomaternal medicine, oncology, infectious disease, public health, nutrition, surgery, menopause, family planning, infertility, psychiatry–psychology, demographic modeling, perinatalogy–neonatolgy ethics and social issues, and pharmacotherapy. A high scientific and editorial standard is maintained throughout the journal along with a regular rate of publication. All published articles will become the property of the JFRH. The editor and publisher accept no responsibility for the statements expressed by the authors here in. Also they do not guarantee, warrant or endorse any product or service advertised in the journal.
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