Albareda J, Herrera M, Lopez Salva A, Garcia Donas J, Gonzalez R
Department of Obstetrics and Gynaecology, Fundacion Hospital Alcorcon, Madrid, Spain.
Gynecol Oncol. 2008 Dec;111(3):583-8. doi: 10.1016/j.ygyno.2008.04.005. Epub 2008 May 22.
Bone involvement in endometrial cancer has been described in less than 15% of the patients with metastatic disease. The medical literature reports 29 cases, although none involving the sacrum.
We present a case of a 62-year-old woman who underwent surgery for endometrial adenocarcinoma in December 2002 (FIGO stage IB grade 1). In January 2006, the CT scan revealed a lesion on the inferior side of the sacrum. Rescue surgery, consisted of sacrectomy with en bloc excision of the metastasis. After 26 months of follow up the patient is disease-free.
This case is unusual for the following reasons: the site of metastasis was the sacrum, metastasis was secondary to a tumour whose histological grade suggested a good prognosis (G1), the patient lacked clinical signs, the diagnosis was fortuitous and because of the surgical treatment pursued and its successful outcome.
在转移性疾病患者中，子宫内膜癌骨转移的发生率不到15%。医学文献报道了29例病例，但均未累及骶骨。
我们报告一例62岁女性，她于2002年12月接受了子宫内膜腺癌手术（国际妇产科联盟（FIGO）分期为IB期，1级）。2006年1月，CT扫描显示骶骨下方有一个病变。补救性手术包括骶骨切除术及转移灶整块切除。经过26个月的随访，患者无疾病复发。
该病例不同寻常的原因如下：转移部位为骶骨；转移继发于组织学分级提示预后良好（G1）的肿瘤；患者无临床症状；诊断为偶然发现；以及所采取的手术治疗及其成功结果。
