Ahmmad Eimad, Abdulkarim Ahmad S, Dirweesh Ahmed
Division of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
HealthPartners Specialty Center, Digestive Care, Saint Paul, MN, USA.
Gastroenterology Res. 2019 Feb;12(1):37-39. doi: 10.14740/gr1129. Epub 2019 Feb 26.
Endometrial cancer is the commonest gynecologic malignancy, of which adenocarcinoma is the most common histologic type. While most women who relapse present with local symptoms within 3 years of the initial diagnosis, metastatic disease usually involves the abdominal cavity and liver. Herein we present a rare case of a patient with a remote history of endometrial adenocarcinoma status-post curative surgical resection and adjuvant therapy who presented with obstructive jaundice proved to be secondary to peri-ampullary metastasis of uterine adenocarcinoma.
子宫内膜癌是最常见的妇科恶性肿瘤，其中腺癌是最常见的组织学类型。虽然大多数复发的女性在初次诊断后3年内出现局部症状，但转移性疾病通常累及腹腔和肝脏。在此，我们报告一例罕见病例，患者有子宫内膜腺癌的远期病史，曾接受根治性手术切除及辅助治疗，现出现梗阻性黄疸，经证实是由子宫腺癌壶腹周围转移所致。
