Akhtar Aisha, Ratra Atul, Puckett Yana, Sheikh Abu Baker, Ronaghan Catherine A
Department of Surgery, Texas Tech University Health Sciences Center.
Internal Medicine, Texas Tech University Health Sciences Center.
Cureus. 2017 Nov 13;9(11):e1840. doi: 10.7759/cureus.1840.
Breast cancer rarely metastasizes to the uterus. Here, we report two breast cancer patients with synchronous metastases to the uterus. Case 1 highlights a 46-year-old female with invasive ductal carcinoma who presented with a breast mass and was found to have uterine enlargement on positron emission tomography (PET) scan. Biopsy revealed a metastatic 4 mm focus of breast cancer in the background of endometrial hyperplasia. Case 2 reports a 62-year-old postmenopausal female diagnosed with lobular carcinoma of the breast following an abnormal screening mammogram. A routine pap smear necessitated further workup, revealing simultaneous endometrial and cervical metastasis. Both patients did not have any gynecologic symptoms and presented a diagnostic challenge.
乳腺癌很少转移至子宫。在此，我们报告两例乳腺癌患者同时发生子宫转移。病例1为一名46岁患有浸润性导管癌的女性，表现为乳房肿块，在正电子发射断层扫描（PET）检查中发现子宫增大。活检显示在子宫内膜增生背景下有一个4毫米的乳腺癌转移灶。病例2报告了一名62岁绝经后女性，在乳腺钼靶筛查异常后被诊断为乳腺小叶癌。一次常规巴氏涂片检查需要进一步检查，结果显示同时存在子宫内膜和宫颈转移。两名患者均无任何妇科症状，带来了诊断挑战。
