{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T20:39:52Z","timestamp":1784666392357,"version":"3.55.0"},"reference-count":17,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,17]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>The case demonstrates the use of bariatric surgery to improve a patient\u2019s candidacy for surgical treatment for endometrial cancer (EC). A 50-year-old morbidly obese woman with early-stage EC was initially treated with levonorgestrel-releasing intrauterine system (52\u2009mg) . She had to reduce her body mass index (BMI) to become eligible for definite EC treatment. Using conservative methods, she was unable to lose weight effectively. She then underwent bariatric surgery that reduced her BMI from 71.3 to 54.3 kg\/m<jats:sup>2<\/jats:sup>. She maintained her weight and was eligible for total hysterectomy and bilateral salpingo-oopherectomy. Her procedure was successful and had no complications. She has 6-monthly follow-ups, and the most recent review showed no evidence of recurrence.<\/jats:p>","DOI":"10.1136\/bcr-2021-243843","type":"journal-article","created":{"date-parts":[[2021,7,22]],"date-time":"2021-07-22T10:47:12Z","timestamp":1626950832000},"page":"e243843","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Morbidly obese patient with endometrial cancer treated by bariatric surgery to enable cancer treatment"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7702-0729","authenticated-orcid":false,"given":"Nidhi","family":"Sharma","sequence":"first","affiliation":[{"name":"School of Medicine, University of Dundee College of Medicine Dentistry and Nursing, Dundee, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kalpana","family":"Ragupathy","sequence":"additional","affiliation":[{"name":"School of Medicine, University of Dundee College of Medicine Dentistry and Nursing, Dundee, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,7,22]]},"reference":[{"key":"2025082711313537000_14.7.e243843.1","unstructured":"Cancer Research UK . Uterine cancer statistics 2021, 2021."},{"key":"2025082711313537000_14.7.e243843.2","unstructured":"Royal College of Obstetricians and Gynaecologists . Endometrial cancer in obese women. 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Newer types of hormonal contraceptive may still carry small breast cancer risk. 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