Di Bonito L, Patriarca S, Alberico S
Eur J Gynaecol Oncol. 1985;6(3):211-7.
Metastases from mammary carcinoma represent the principal cause of exitus in 45% of subjects dead from this neoplasia. Also if they are not frequent, uterine metastases from mammary carcinoma are not very rare to find at the autopsy (2-15% as various Authors report). In this study, the Authors present 17 cases (1 bioptic and 16 autoptic cases) of uterine metastases from breast carcinoma. The histological examination confirms a more frequent involvement of the uterine corpus, with infiltration of the myometrium. When the endometrium is affected, generally the neoplasia infiltrates the stroma, preserving the glandular architecture. In one case, the uterine metastases was associated with a fibroleiomyoma. The clinical symptomatology (metrorrhagia in 3 of 17 cases) was poor because, as we have said above, generally the neoplasia infiltrates the myometrium.
在因乳腺癌死亡的患者中，45%的患者其死亡主要原因是出现了乳腺癌转移。尽管乳腺癌子宫转移并不常见，但在尸检中发现这种情况也并非十分罕见（据不同作者报道，发生率为2% - 15%）。在本研究中，作者呈现了17例乳腺癌子宫转移病例（1例活检病例和16例尸检病例）。组织学检查证实子宫体受累更为常见，伴有子宫肌层浸润。当子宫内膜受到影响时，肿瘤通常浸润间质，同时保留腺体结构。在1例病例中，子宫转移与纤维平滑肌瘤相关。临床症状（17例中有3例出现子宫出血）并不典型，正如我们上文所述，肿瘤通常浸润子宫肌层。
