Ikeda Shun-ichi, Yajima Masazumi, Hida Kazuhide, Hattori Minako, Shimizu Shoko, Umezaki Izumi, Nishikawa Toshio, Ohta Hiroaki
Department of Obstetrics and Gynecology, Faculty of Medicine, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, 162-8666, Tokyo, Japan.
Arch Gynecol Obstet. 2006 Jan;273(4):250-2. doi: 10.1007/s00404-005-0043-9. Epub 2005 Aug 12.
A 58-year-old woman was diagnosed with endometrial carcinoma. Total hysterectomy, bilateral salpingo-oophorectomy and paraaortic and a pelvic lymph node dissection were performed. The cytology of peritoneal fluid was negative. There was no peritoneal dissemination except umbilical nodule. A peritoneal 2.0x1.5 cm umbilical nodule was also resected. The nodule was identified as a metastasis from endometrial cancer with endometriosis. The pelvic lymph nodes also showed metastatic lesion with endometriosis. Our case showed that endometriosis coexisted with umbilical and pelvic lymph nodal metastatic lesions from endometrial cancer. This fact suggests that the mode of metastasis to the umbilicus via lymph flow from endometrial cancer is the same as that for endometriosis.
一名58岁女性被诊断为子宫内膜癌。进行了全子宫切除术、双侧输卵管卵巢切除术以及腹主动脉旁和盆腔淋巴结清扫术。腹腔积液细胞学检查为阴性。除脐部结节外无腹膜播散。一个2.0×1.5 cm的腹腔脐部结节也被切除。该结节被确定为伴有子宫内膜异位症的子宫内膜癌转移灶。盆腔淋巴结也显示有伴有子宫内膜异位症的转移病变。我们的病例表明，子宫内膜异位症与子宫内膜癌的脐部和盆腔淋巴结转移病变共存。这一事实提示，子宫内膜癌经淋巴引流转移至脐部的方式与子宫内膜异位症相同。
