Schöls W A, Kock H C, van Etten F H
Gynecol Oncol. 1995 Oct;59(1):148-50. doi: 10.1006/gyno.1995.1282.
A 66-year-old woman was admitted because of postmenopausal vaginal bleeding. Diagnostic workup revealed a poorly differentiated endometrial adenocarcinoma. A total abdominal hysterectomy and bilateral salpingo-oophorectomy was carried out (FIGO stage Ia, G3). One and a half years later she developed a solitary humeral metastasis which was treated by local radiotherapy and progesterone acetate. Because osseous metastases in endometrial adenocarcinoma are rare, the literature is reviewed. In analogy to the treatment of pulmonary metastases the option of disarticulation of the patient's arm is discussed.
一名66岁女性因绝经后阴道出血入院。诊断检查发现为低分化子宫内膜腺癌。行全腹子宫切除术及双侧输卵管卵巢切除术(国际妇产科联盟(FIGO)分期Ia,G3)。一年半后,她出现了肱骨孤立性转移,接受了局部放疗和醋酸孕酮治疗。由于子宫内膜腺癌的骨转移罕见,故对相关文献进行综述。并参照肺转移的治疗方法,讨论了患者截肢的选择。