Srikantia Nirmala, B Rekha, A G Rajeev, Kalyan Suman N
Department of Radiotherapy, M S Ramaiah Medical College and Hospital, MSRIT Post, Bangalore - 560085.
Indian J Med Paediatr Oncol. 2009 Apr;30(2):80-3. doi: 10.4103/0971-5851.60053.
Endometrial adenocarcinoma is the third common malignancy of the female genital tract occurring most often in the postmenopausal age group. High tumor grade, advanced surgical stage, and lymphovascular space invasion are implicated as poor prognostic factors for dissemination of disease. We present an unusual case of endometrial adenocarcinoma in a premenopausal woman with simultaneous metastases in brain, liver, skin and skeletal system, within one month of completion of treatment. The role of adjuvant/concurrent chemotherapy in addition to radiotherapy in high risk cases is discussed along with the review of literature.
子宫内膜腺癌是女性生殖道第三常见的恶性肿瘤，最常发生于绝经后年龄组。高肿瘤分级、手术分期晚以及淋巴管间隙浸润被认为是疾病播散的不良预后因素。我们报告了一例绝经前女性子宫内膜腺癌的罕见病例，在完成治疗后的一个月内，脑、肝、皮肤和骨骼系统同时出现转移。本文结合文献复习，讨论了高危病例中辅助/同步化疗联合放疗的作用。
