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子宫内膜浆液性癌转移致皮肤及腹股沟淋巴结——病例报告及文献复习。

Cutaneous and Inguinal Lymph Nodes Metastases Disseminated from an Endometrial Serous Carcinoma - Case Report and Literature Review.

出版信息

Chirurgia (Bucur). 2021 Jan-Feb;116(1):109-116. doi: 10.21614/chirurgia.116.1.109.

Abstract

Cutaneous metastases from endometrial cancer are rare and unusual. This is the case of a 72 years old female patient, diagnosed in 2018 with G3 endometrial serous carcinoma (ESC). At 18 months from the surgical intervention, the patient developed bilateral inguinal lymph nodes metastases and skin secondary lesions; histological and immunohistochemical tests were performed. Computed tomography scan did not indicate visceral secondary lesions, local or regional relapses. We present the treatment practiced, the case's evolution and we discuss about epidemiology, molecular biology, treatment options and management of advanced and local lesions. The appearance of skin metastases in theses cases is associated with poor prognosis and treatment options are limited to palliative chemotherapy and radiotherapy.

摘要

子宫内膜癌的皮肤转移较为罕见且不常见。这是一位 72 岁女性患者的病例,她于 2018 年被诊断为 G3 子宫内膜浆液性癌(ESC)。在手术干预后 18 个月,患者出现双侧腹股沟淋巴结转移和皮肤继发性病变;进行了组织学和免疫组织化学检查。计算机断层扫描未显示内脏继发性病变、局部或区域性复发。我们介绍了所实施的治疗方法、病例的演变情况,并讨论了晚期和局部病变的流行病学、分子生物学、治疗选择和管理。这些情况下皮肤转移的出现与预后不良相关,治疗选择仅限于姑息性化疗和放疗。

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