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Query: UMLS:C0476089 (endometrial cancer)
 11,379 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Six patients who took oral contraceptive agents for 5 to 18 years developed endometrial neoplasia. Endometrial adenocarcinoma occurred in 4 of these patients and severe adenomatous hyperplasia occured in 2. Five of the 6 patients took sequential agents; 1 patient used a combined agent. An additional patient who took Premarin and Provera sequentially developed adenocarcinoma of the endometrium. Eighteen cases of endometrial adenocarcinoma and 7 cases of adenomatous hyperplasia in patients with long-term sequential oral contraceptive use have previously been reported by others. Progestogens may not be completely protective against the endometrial cancer-causing potential of the estrogens, especially in the sequential regimens.
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PMID:Endometrial carcinoma and oral contraceptive agents. 19 73

Past studies have shown that patients with recurrent or advanced endometrial carcinoma respond favorably to treatment with progestin. Theories relate the success of the treatment to the concentration of progestin in the blood supplied to cancerous tissues. A study was undertaken to measure the plasma level of the steroid in patients with endometrial adenocarcinoma. Medroxyprogesterone Acetate (MPA) was administered to two groups of patients. One group received a single 100mg dose of MPA intramuscularly every day. The other group was subdivided and individuals received from 100 to 300mg of MPA orally everyday for a month. Plasma levels of MPA were measured daily twenty-four hours after the last dose. Radioimmunoassay techniques were used to measure MPA levels. Plasma levels of patients receiving 100 mg either orally or intramuscularly were the same. Patients who received the 200 mg and 300 mg dosage of MPA orally exhibited higher mean plasma values. Examination of cancerous tissues removed by surgery near the time of plasma MPA evaluation showed marked effects of the therapy. Two of the four patients who had the surgery had received the higher 200mg and 300mg dosage. Based on the results of this investigation, further studies on the effectiveness of treatment for recurrent or advanced endometrial adenocarcinoma should include a phase to monitor MPA plasma levels.
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PMID:Plasma medroxyprogesterone acetate levels following intramuscular or oral administration in patients with endometrial adenocarcinoma. 41 65

Precanceroses and early screening of endometrial carcinomas are reviewed. Measures are evaluated on how to prevent this malignancy with administration of gestagens in hyperplastical endometrial changes in climacteric conditions and manifestations of endometrial estrogenization in postmenopause. On the basis of clinical, laboratory and histological investigations, the total of 31 female subjects with dysfunctional bleeding was given medroxyprogesterone acetate (Provera Upjohn tbl.) in 10 mg daily doses for up to 10-13 days cyclically prior to the onset of menopause. Under the mentioned treatment any of them experienced the rebleed, and no endometrial carcinoma had been diagnosed with control vacuum curettage within one year of observation. In a total of 196 women operated on to endometrial carcinoma, the occurrence of risk-factors for the development of mentioned tumour (obesity, late menopause, i.e. menopause after 50 years of age, sterility and dysfunctional bleeding backed with anovulation, long-term estrogen administration, feminizing ovarian tumours, liver diseases, glycide metabolic disorders and hypertension) was evaluated. The present work was aimed on the screening of asymptomatic group of women. Two important signs (obesity and late menopause) were invariably determined with the addition of any other risk factor. Mentioned women are supposed to undergo regular yearly histological investigation of endometrium. Of most benefit the vacuum curettage is believed by authors as a result of comparing the validation of cytological and histological methods in order of early evidence.
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PMID:[Precanceroses and endometrial carcinoma]. 184 15

Investigations of estrogen and progesterone receptors content in 28 women with endometrial cancer in the cancer tissue. During treatment with large doses of MPA (Depo-Provera) a significant decrease of progesterone receptors was observed.
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PMID:[Response of estrogen and progesterone receptors to treatment with large doses of progestogen (depo-provera) in endometrial cancer]. 214 45

The morphological effect of a high-dose progestogen (Depo-Provera) on highly differentiated endometrial carcinoma was studied. Thirteen patients were treated by progestogen only, given at the beginning of the treatment in a weekly dose of 1,000 mg for 3 month. Then, progestogen 500 mg was administered for 12 months. Nine patients were operated after the treatment; in 7 of them, a total histological regression was observed. Histological tests of the intraoperatively gained preparations showed 'disappearance' of the original carcinomatous process; only a serious atrophy of the endometrium could be detected.
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PMID:Continuous, high-dose progestogen treatment of endometrial cancer. 296 10

Forty-six eligible women with metastatic endometrial cancer were randomly allocated to receive monthly cycles of either CAF (cyclophosphamide, adriamycin, 5-fluorouracil) or CAF plus Provera 200 mg daily for 3 weeks followed cyclically by Tamoxifen 20 mg daily for 3 weeks. Overall response rates of 15 and 43% were seen with CAF and CAF plus hormonal therapy. Using a multivariate analysis of the results, this difference is significant (P value 0.05). In 8 patients with operable endometrial cancer, negative estrogen receptor concentration (ER less than 15 fmole/mg protein) and Grade 3 disease, the clinical course was aggressive in 4 patients with systemic and local relapse. In 10 other similar patients (negative ER and Grade 3) who received adjuvant cyclical hormonal therapy only 1 relapsed and the other 9 are disease-free for an average of more than 31 months. Sequential cyclical hormonal therapy with ER and progesterone receptor analysis has a place in the management of endometrial carcinoma.
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PMID:Efficacy of sequential cyclical hormonal therapy in endometrial cancer and its correlation with steroid hormone receptor status. 297 97

Spinal cord or cauda equina compression secondary to epidural metastasis rarely develops in patients with endometrial carcinoma and the early signs and symptoms of compression can therefore be inadvertently overlooked. A 78-year-old patient who developed bone metastasis with destruction of the fifth lumbar vertebral body and blockage of the cauda equina at L-4, L-5 as the only sites of metastasis is reported. This occurred 2 years after initial treatment of a stage IB, well-differentiated, grade I, adenosquamous carcinoma of the endometrium. The patient remains alive, with good neurological function and free of metastatic disease, 2 1/2 years following vertebrectomy, radiation therapy, and adjuvant Provera (medroxyprogesterone acetate) therapy. This patient represents the only case of metastatic endometrial cancer with cauda equina compression in the literature in whom long-term disease-free follow-up has been noted.
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PMID:Cauda equina compression secondary to metastatic carcinoma of the uterine corpus: preservation of neurologic function and long-term survival following surgical decompression and radiation therapy. 397 89

Progestational agents induced an objective response in 11.2% of 155 patients with advanced primary or recurrent endometrial carcinoma. Response rates decreased with decreasing tumor differentiation from 40% with Broders grade 1 lesions to 17.5, 2.4, and 0%, respectively, with grades 2, 3, and 4. 17 alpha-Hydroxyprogesterone caproate (Delalutin), 6,17 alpha-dimethyl-6-dehydroprogesterone (Colprone), and 6-methyl-6-dehydroprogesterone acetate (Megace) were the progestogens used; there was no significant advantage for any one agent. Overall, survival after initiation of hormone therapy was 40% at one year, 19% at two years, and 8% at five years. Survival was highly dependent on the degree of tissue differentiation (P less than .001) and was influenced significantly by the estimated tumor volume at the start of therapy (P less than .01) and by the time interval from primary treatment to the beginning of hormone therapy (P less than .01).
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PMID:Effects of progestational agents in treatment of endometrial carcinoma. 401 Oct 61

This reply to a letter criticizing the author's article on Depo-Provera use which appeared in the same publication argues that proponents of Depo-Provera have misled the public about its suitability for wide use. Because many Thai women have already used Depo-Provera for a decade or more, because it takes 10 times as much Depo-Provera to produce the same blood level in monkeys as in humans, and because tribal women in Thailand weighing less than 45 kg routinely received 6 month doses of 450 mg, 3 times the 3 month dose, any difference between the doses given experimental monkeys and village women is marginal. The study by McDaniel and Potts of women with endometrial cancer hospitalized in Chiang Mai and Lumpoon Provinces which examined Depo-Provera use among them had too small a sample to detect less than a 20-fold relative risk; moreover, very few cases of endometrial cancer actually came in for treatment. Depot medroxyprogesterone acetate (DMPA) and norgesterone produce a situation similar to early menopause in which the uterus is atrophic because ovulation has ceased, but estrogen production continues and the endometrium is stimulated. Menopausal women are at high risk of developing endometrial cancer. Research literature suggests that the reproductive systems of breastfed infants are vulnerable to longterm action of DMPA in milk. Babies exposed in utero may be at risk of vaginal adenosis or cardiovascular malformations. Giving Depo-Provera to mothers of nursing babies violates the restrictions on use of children in medical experiments evolved after the Nuremburg trials. The hostility of population control activists to critics concerned about cancer evidence may prevent abnormal conditions from being looked for. It is suggested that DMPA experimenters experiment on themselves for 10 years while a moratorium on use of Depo-Provera is observed until the results are available.
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PMID:Reply to Dr. Edwin B. McDaniel. Exaggerated claims of depo-provera safety. 622 51

Scanning electron microscopic examination revealed conspicuous superficial changes in endometrial carcinoma, primarily in highly differentiated cases, after treatment with high doses of a progesterone compound (Depo-Provera). The most important changes included decrease of superficial structure, distruction of microvilli, loosening of intercellular connection and disintegration of the glandular substance. In consequence a barren, poorly structured, "devastated" pattern was seen, which points to the regressive processes on intracellular plane occurring on the effect of progestagens. Results confirmed the hypothesis of the close relationship between intracellular and cell surface processes.
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PMID:[Cell surface changes after high-dosage progesterone treatment in endometrial carcinoma]. 623 68


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