Erdoğan Özgür, Balci Mücahit Furkan, Özgüzer Alp, Özdaş Emel, Görgülü Gökşen, Sanci Muzaffer
Department of Gynaecologic Oncology, İzmir Tepecik Education and Research Hospital, Izmir, Turkey.
Department of Pathology, İzmir Tepecik Education and Research Hospital, Izmir, Turkey.
J Obstet Gynaecol Res. 2023 May;49(5):1452-1455. doi: 10.1111/jog.15621. Epub 2023 Feb 24.
Only 2% of all breast cancers are metastatic, making them extremely uncommon. They are frequently mistaken for a primary breast tumor. Although it has been observed, metastatic spread from primary uterine cancers is extremely uncommon. In the literature, our case represents the fourth endometroid adenocarcinoma metastasis from the uterus. Clinical, pathological, and immunohistochemical examination and management of metastatic endometrioid adenocarcinoma of the uterus' extragenital organ were described in this 69-year-old patient's case. Immunohistochemical analysis was performed on a breast biopsy taken from the patient who underwent therapy and discovered a breast mass two years later. Metastatic endometrial adenocarcinoma was diagnosed with negative signs pointing to mammaglobin, GCDFP-15 and GATA3 breasts and markers indicating endometroid adenocarcinomas such as p53, PAX8 and VIMENTIN support. As a result, a thorough clinical history is needed, with special attention to diagnoses of concurrent or prior malignancies, along with clinical examination, appropriate radiological evaluation, and immunohistochemistry. This is necessary to prevent unnecessary surgery, to provide appropriate systemic treatment, to ensure correct diagnosis, and to manage treatment.
所有乳腺癌中只有2%是转移性的,这使其极为罕见。它们常被误诊为原发性乳腺肿瘤。尽管已有观察到,但原发性子宫癌的转移扩散极为罕见。在文献中,我们的病例是第四例子宫来源的子宫内膜样腺癌转移。本文描述了这位69岁患者子宫外生殖器器官转移性子宫内膜样腺癌的临床、病理、免疫组化检查及治疗情况。对接受治疗并在两年后发现乳腺肿块的患者进行的乳腺活检进行了免疫组化分析。转移性子宫内膜腺癌被诊断为乳腺珠蛋白、GCDFP - 15和GATA3呈阴性,而p53、PAX8和波形蛋白等提示子宫内膜样腺癌的标志物呈阳性。因此,需要详细的临床病史,特别关注同时发生或既往的恶性肿瘤诊断,同时进行临床检查、适当的影像学评估和免疫组化。这对于避免不必要的手术、提供适当的全身治疗、确保正确诊断以及管理治疗是必要的。