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子宫内膜癌皮肤转移:1 例罕见病例报告及文献复习。

Cutaneous metastases of endometrial carcinoma: report of an unusual case and literature review.

机构信息

Department of Obstetrics and Gynecology, Peking University People's Hospital, Beijing, 100044, China.

Reproductive Medical Center, Peking University People's Hospital, Beijing, China.

出版信息

Arch Gynecol Obstet. 2021 Nov;304(5):1127-1133. doi: 10.1007/s00404-021-06165-w. Epub 2021 Aug 2.

Abstract

PURPOSE

Cutaneous metastases of endometrial carcinoma are rare. We report a case of a 54-year-old woman who developed cutaneous metastases from an endometrial carcinoma, and review the related literature to offer insight into this rare and serious condition.

METHODS

The clinical and pathological data and therapy delivered to a patient from Peking University People's Hospital, were retrieved from her medical records. A systematic literature search regarding this unusual disease progression was conducted through PubMed/MEDLINE.

RESULTS

A postmenopausal patient diagnosed with stage IB endometrioid carcinoma rapidly developed cutaneous metastases. 10 months postoperatively, the patient developed multiple lymph node metastases, and 22 months later, cutaneous metastases appeared on both breasts. She was then treated with chemotherapy, immunotherapy and hormone therapy. The skin lesions eased temporarily but deteriorated quickly. Ultimately, she died in 7 months subsequent to the appearance of cutaneous lesions.

CONCLUSION

Cutaneous metastases from endometrial carcinoma have usually been incurable and associated with a limited prognosis.

摘要

目的

子宫内膜癌皮肤转移较为罕见。我们报告了一例 54 岁女性子宫内膜癌皮肤转移病例,并对相关文献进行了复习,以深入了解这种罕见且严重的疾病。

方法

从北京大学人民医院患者的病历中提取了患者的临床和病理数据及治疗方法。通过 PubMed/MEDLINE 对该罕见疾病进展进行了系统的文献检索。

结果

一位绝经后患者被诊断为 I 期子宫内膜样癌,其迅速发生皮肤转移。术后 10 个月,患者出现多发淋巴结转移,22 个月后,双乳出现皮肤转移。随后,患者接受了化疗、免疫治疗和激素治疗。皮肤病变暂时缓解,但很快恶化。最终,在皮肤病变出现后 7 个月,患者死亡。

结论

子宫内膜癌皮肤转移通常是不可治愈的,预后有限。

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