Hansen Jennifer, Dinicu Andreea, Kelley Johanna, Beffa Lindsey
Obstetrics and Gynecology Institute, Department of Gynecologic Oncology, Cleveland Clinic, 9500 Euclid Avenue, Mail Code A81, Cleveland, OH 44195, United States.
Gynecol Oncol Rep. 2025 Jul 9;60:101802. doi: 10.1016/j.gore.2025.101802. eCollection 2025 Aug.
Malignancy-associated DIC is uncommon and when it does occur, is often associated with hematologic malignancies rather than solid tumors. In this case, we describe an unusual case when a patient with advanced stage high-grade endometrial adenocarcinoma presented to care with vision loss and deep vein thrombosis, found to be in disseminated intravascular coagulation (DIC). The patient suffered many complications from her DIC, which was briefly managed with systemic therapy for her underlying malignancy but ultimately led to her death. DIC has been reported in the literature rarely for gynecologic malignancies, and never as presenting symptom for high-grade endometrial adenocarcinoma.
恶性肿瘤相关的弥散性血管内凝血(DIC)并不常见,一旦发生,通常与血液系统恶性肿瘤而非实体瘤相关。在本病例中,我们描述了一例罕见情况,一名晚期高级别子宫内膜腺癌患者因视力丧失和深静脉血栓前来就医,被诊断为弥散性血管内凝血(DIC)。该患者因DIC出现了许多并发症,曾接受针对其潜在恶性肿瘤的全身治疗,但最终仍不幸死亡。文献中很少报道妇科恶性肿瘤出现DIC的情况,更从未有过高级别子宫内膜腺癌以DIC为首发症状的报道。