Çift Tayfur, Aslan Berna, Bulut Berk, İlvan Şennur
Bursa Yüksek İhtisas Training and Research Hospital, Clinic of Gynecology and Obstetrics, Bursa, Turkey.
Kanuni Sultan Süleyman Training and Research Hospital, Clinic of Gynecology and Obstetrics, İstanbul, Turkey.
Turk J Obstet Gynecol. 2016 Sep;13(3):164-166. doi: 10.4274/tjod.88964. Epub 2016 Sep 15.
Metastatic carcinoma of the uterus usually originates from other genital sites. Extragenital metastases such as breast are rare. A woman aged 34 years with a history of breast cancer was referred to the gynecology outpatient clinic for routine follow-up. Diagnostic tests and gynecologic examination revealed a uterine mass, which was removed with laparotomy. The pathologic investigation revealed metastasis of invasive lobular breast cancer. Chemotherapy was given and the patient has been under follow-up for 3 years with normal imaging on comput-erized tomographic examination and positron-emission tomography-computerized tomographic. It should be kept in mind that patients with breast cancer who have received tamoxifen may develop primary endometrial cancers, and may also demonstrate uterine metastases. With successful treatment these patients can obtain dis-ease-free survival.
子宫转移性癌通常起源于其他生殖部位。像乳腺癌这种生殖器外转移很少见。一名34岁有乳腺癌病史的女性被转诊至妇科门诊进行常规随访。诊断检查和妇科检查发现一个子宫肿物，通过剖腹手术将其切除。病理检查显示为浸润性小叶乳腺癌转移。给予了化疗，患者已接受随访3年，计算机断层扫描和正电子发射断层扫描 - 计算机断层扫描成像均正常。应当记住，接受过他莫昔芬治疗的乳腺癌患者可能会发生原发性子宫内膜癌，也可能出现子宫转移。通过成功治疗，这些患者可以获得无病生存。
