TITLE

MULTIPLE COLONIC AND GASTRIC METASTASIS OF ENDOMETRIAL ADENOCARCINOMA -- CASE REPORT

AUTHOR(S)
Molnar, C.; Dobru, Ecaterina Daniela; Copotoiu, C.; Silaghi, C.; Neagoe, V. I.; Milutin, Doina; Panţîru, A.; Molnar, C. V.
PUB. DATE
October 2013
SOURCE
Jurnalul de Chirurgie;2013, Vol. 9 Issue 4, p339
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
INTRODUCTION: In the gynecological malignancies endometrial adenocarcinoma is the second most common, giving early hematogenous and lymphatic metastasis to the lungs, brain and bones. CASE REPORT: We present the case of a 71 year old patient who underwent surgery two years ago for endometrial adenocarcinoma and followed postoperatively multimodal oncological treatment. The patient was admitted in January 2013 in the First Surgery Clinic of the Emergency Clinical County Hospital Târgu Mureş, Romania, for chronic anemia, consumptive disease signs and subocclusive syndrome. The preoperative exams (upper and lower gastrointestinal endoscopy, thoraco-abdominal computed tomography and ultrasound) found a tumor invading right, transverse and sigmoid colon as well as gastric antrum and spleen. A subtotal colectomy with ileo-rectal anastomosis was then performed associated with distal gastrectomy and splenectomy. The histopathological exams revealed gastric and colonic metastasis from the endometrial serous cancer operated two years ago. The postoperative evolution was uneventful. CONCLUSIONS: Endometrial cancer can metastasize to the colon and stomach even without the presence of endometriosis. Multivisceral resections and preoperative exams of the digestive tract are justified in terms of subjective complaints of an occlusive simptomatology.
ACCESSION #
94968713

 

Related Articles

  • Letter to the Editor re: Evolution of emphysema in relation to smoking. Sverzellati, Nicola; Calabrò, Elisa; Kunighk, Jan-Martin; Randi, Giorgia; Pastorino, Ugo // European Radiology;Jul2010, Vol. 20 Issue 7, p1621 

    A letter to the editor is presented in response to the article "Evolution of Emphysema in Relation to Smoking," by Massimo Bellomi, Cristiano Rampinelli, and Giulia Veronesi.

  • Overexpression of HER2/neu Receptor - Prognostic Factor in Endometrial Cancer. Ilyés, L.; Carmen, Rădulescu; Grama, O.; Gârbovan, O.; Ádám, A.; Jung, J.; Rădulescu, C. // Acta Medica Marisiensis;Oct2011, Vol. 57 Issue 5, p475 

    Objective: The purpose of the study is to assess the incidence of the HER2/neu transmembrane receptor in patients diagnosed with endo­metrial cancer, and to determine the association of HER2/neu with other negative prognostic factors. Material and method: We followed the survival rates for 2...

  • Microarray Analysis Reveals Distinct Gene Expression Profiles Among Different Tumor Histology, Stage and Disease Outcomes in Endometrial Adenocarcinoma. Mhawech-Fauceglia, Paulette; Dan Wang; Kesterson, Joshua; Clark, Kimberly; Monhollen, Laketa; Odunsi, Kunle; Lele, Shashikant; Song Liu // PLoS ONE;2010, Vol. 5 Issue 11, p1 

    Background: Endometrial cancer is the most common gynecologic malignancy in developed countries and little is known about the underlying mechanism of stage and disease outcomes. The goal of this study was to identify differentially expressed genes (DEG) between late vs. early stage endometrioid...

  • Two rare cases of node-positive differentiated gastric cancer despite their infiltration to sm1, their small size, and lack of lymphatic invasion into the submucosal layer. Nagano, Hideki; Ohyama, Shigekazu; Fukunaga, Tetsu; Hiki, Naoki; Seto, Yasuyuki; Yamaguchi, Toshiharu; Kato, Yo; Yamaguchi, Akio // Gastric Cancer;Mar2008, Vol. 11 Issue 1, p53 

    Early gastric cancer without lymph node metastasis has been reported after the analysis of many cases, and a consensus has been reached about this condition. We report two cases of node-positive differentiated sm1 gastric cancer without lymphatic invasion into the submucosal layer. Case 1 was a...

  • Synchronous Primary Ovarian and Endometrial Carcinomas. Kontoravdis, A.; Trakakis, E.; Vitoratos, N.; Chryssikopoulos, A.; Botsis, D.; Creatsas, G. // Journal of Gynecologic Surgery;Fall99, Vol. 15 Issue 3, p127 

    Presents a study that described the diagnosis, treatment and follow-up of patients with concomitant primary ovarian and endometrial carcinomas. Materials and methods; Histologic characteristics of tumors and clinical data of patients; Results and discussion.

  • Coexistence of homologous-type cervical carcinosarcoma with endometrioid-type G1 endometrial cancer: a case report with an immunohistochemical study. Semczuk, Andrzej; Colas, Eva; Walczyna, Beata; Joźwik, Maciej; Pyra, Andrzej; Semczuk-Sikora, Anna; Rechberger, Tomasz // International Journal of Clinical & Experimental Medicine;2014, Vol. 7 Issue 10, p7191 

    Coexistence of two or even more independent primary tumors derived from the female genital tract organs is a unique event. The most common combination is the coexistence of synchronous tumors in the ovary and endometrium. In the present case study, we described a coincidence of homologous-type...

  • Endometrial Cancer. Torpy, Janet M.; Glass, Richard M. // JAMA: Journal of the American Medical Association;10/2/2002, Vol. 288 Issue 13, p1678 

    Informs about endometrial cancer. Risk factors including family history, age, and obesity; Symptoms and signs such as lower abdominal pain and abnormal bleeding; Treatments of hysterectomy and bilateral salpingo-oophorectomy; Contact points for more information; Illustration by Cassio Lynm.

  • Investigation of the Lymphatic Stream of the Stomach in Gastric Cancer with Solitary Lymph Node Metastasis. Tokunaga, Masanori; Ohyama, Shigekazu; Hiki, Naoki; Fukunaga, Tetsu; Yamada, Kazuhiko; Sano, Takeshi; Yamaguchi, Toshiharu // World Journal of Surgery;Jun2009, Vol. 33 Issue 6, p1235 

    Understanding the lymphatic drainage route in gastric cancer is crucial for complete lymph node retrieval from sites susceptible to metastasis. However, the lymphatic stream of the stomach is complex and remains incompletely characterized. Patients with small (<4 cm) serosa-negative gastric...

  • Five-Year Survival after Surgery for Invasive Micropapillary Carcinoma of the Stomach. Ninomiya, Shigeo; Sonoda, Kazuya; Shiroshita, Hidefumi; Bandoh, Toshio; Arita, Tsuyoshi // Case Reports in Surgery;2013, p1 

    Invasive micropapillary carcinoma (IMPC) of the breast, urinary bladder, ovary, and colon has been reported. However, few reports have described IMPC of the stomach. In addition, IMPC has been described as a histological indicator for lymphatic invasion and nodal metastasis, resulting in poor...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics