Khaja Misbahuddin, Yapor Laura, Haider Asim, Anwar Muhammad Yasir, Ronderos Diana M, Shin Dongmin
Internal Medicine/Pulmonary Critical Care, Icahn School of Medicine at Mount Sinai/BronxCare Health System, New York City, USA.
Internal Medicine, BronxCare Health System, New York City, USA.
Cureus. 2022 Sep 7;14(9):e28907. doi: 10.7759/cureus.28907. eCollection 2022 Sep.
Endometrial cancer is the most common malignant tumor of the female genital tract. It can rarely metastasize to the lung, presenting as a pulmonary nodule and pleural effusion. Here we present a case of a 76-year-old female with a history of endometrial cancer who underwent a total abdominal hysterectomy and came one year later for evaluation of shortness of breath. She was found to have pleural effusion. Diagnostic and therapeutic thoracentesis was positive for malignant cells originating from endometrial cancer. The patient could not tolerate chemotherapy due to poor functional status, and a tunnel pleural catheter was placed for symptomatic relief. In conclusion, it is a rare finding of malignant pleural effusion to have an origin as endometrial cancer. Pleura is the rare distant site of involvement from endometrial cancer.
子宫内膜癌是女性生殖道最常见的恶性肿瘤。它很少转移至肺部，表现为肺结节和胸腔积液。在此，我们报告一例76岁有子宫内膜癌病史的女性病例，该患者接受了全腹子宫切除术，一年后因气短前来评估。发现她有胸腔积液。诊断性和治疗性胸腔穿刺抽出的液体中发现源自子宫内膜癌的恶性细胞。由于功能状态差，患者无法耐受化疗，遂置入隧道式胸腔导管以缓解症状。总之，源自子宫内膜癌的恶性胸腔积液是一种罕见的发现。胸膜是子宫内膜癌罕见的远处转移部位。
