Giannakopoulos C K, Kyriakidou G K, Toufexi G E
Department of Gynecology, Laiko General Hospital, Athens, Greece.
Eur J Gynaecol Oncol. 2006;27(1):95-7.
A rare case of endometrial adenocarcinoma that presented with symptoms of bone metastasis in the right ischium is described. The patient had no signs or symptoms of gynecological malignancy and the diagnostic work up did not reveal the primary disease. The bone metastasis was treated successfully by radiotherapy, but three years later the patient noted vaginal bleeding, which led to the diagnosis and treatment of the primary endometrial cancer. Another 20 cases of endometrial carcinoma with bone metastasis have been found in literature, but only five of them presented with the feature of bone metastasis. Bone metastasis should be considered in patients with endometrial adenocarcinoma.
本文描述了一例罕见的子宫内膜腺癌病例，该病例以右侧坐骨骨转移症状为表现。患者无妇科恶性肿瘤的体征或症状，诊断检查未发现原发疾病。骨转移通过放疗成功治疗，但三年后患者出现阴道出血，从而得以诊断和治疗原发性子宫内膜癌。文献中还发现了另外20例子宫内膜癌伴骨转移的病例，但其中只有5例具有骨转移特征。子宫内膜腺癌患者应考虑骨转移的可能性。
