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当骨骼“说话”时:一例子宫内膜癌转移病例

When the bones speak: A case of endometrial carcinoma metastasis.

作者信息

Maslouhi Kaoutar, Allioui Soukaina, Kessi Eric, Ridah Salma Malak, Laamrani Farima Zahra, Omor Youssef, Latib Rachida, Amalik Sanae

机构信息

Department of Radiology, National Institute of Oncology, CHU Ibn Sina, Faculty of Medicine and Pharmacy of Rabat, Rabat, Morocco.

出版信息

Radiol Case Rep. 2025 May 20;20(8):3903-3905. doi: 10.1016/j.radcr.2025.04.087. eCollection 2025 Aug.

Abstract

The case of an 80-year-old postmenopausal patient presenting with metrorrhagia and advanced endometrial cancer with bone metastasis to the femur, detected by MRI. Bone metastases in endometrial carcinoma, although rare (5%-10% of advanced cases), can lead to pain, fractures, and reduced mobility. Imaging, particularly MRI, plays a crucial role in diagnosis. Treatment includes palliative care, radiation therapy to relieve pain, and sometimes surgical interventions. The prognosis is generally poor, with reduced survival. Research should focus on targeted therapies and early detection of metastases.

摘要

一名80岁绝经后患者出现子宫出血及晚期子宫内膜癌并伴有股骨骨转移的病例,通过磁共振成像(MRI)检测发现。子宫内膜癌的骨转移虽然罕见(占晚期病例的5%-10%),但可导致疼痛、骨折及活动能力下降。影像学检查,尤其是MRI,在诊断中起着关键作用。治疗包括姑息治疗、缓解疼痛的放射治疗,有时还包括手术干预。总体预后较差,生存率降低。研究应聚焦于靶向治疗及转移灶的早期检测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1d2/12148568/ed535aeb7931/gr1.jpg

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