IUD and Endometrial Cancer

The patient is a 34 y/o G3P2012 with morbid obesity (BMI: 44.6) unremarkable medical history. Patient reports regular menstrual bleeding with mild to moderate menstrual flow. Denies use of hormonal contraception. Patient reports having a Cupper T IUD inserted 6 years ago. She requested IUD removal. In office IUD removal was unsuccessfully attempted in the office due to inability to visualize the strings. A pelvic XR revealed the presence of the IUD in the pelvis. In office hysteroscopy was performed with the findings of the left arm of the IUD embedded in the left uterine wall and a solid 2x2 cm solid mass at the fundus with irregular borders with small satellites excrescences, with atypical vascularization; the tumor is located on an atrophic endometrial surface, directed biopsy is taken revealing endometrioid type endometrial adenocarcinoma.