Obstet Gynecol Sci.  2017 Sep;60(5):481-484. 10.5468/ogs.2017.60.5.481.

Metastatic uterine cancer looking as cervical fibroid in recurrent breast cancer woman: a case report

Affiliations
  • 1Department of Obstetrics and Gynecology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea. jyimdog@paik.ac.kr
  • 2Department of General Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Abstract

Metastasis to the female genital tract from extragenital primary cancer is uncommon. In this case, a 46-year-old woman was diagnosed with invasive lobular carcinoma of the left breast in 2011. She had left breast conserving surgery, chemotherapy, radiation, and hormonal therapy (gosereline and tamoxifen). However, she developed menorrhagia after interruption of hormonal therapy and incidentally, the ultrasonogram of her pelvis showed a solid, large mass in the cervix. It looked like leiomyoma. Because of massive vaginal bleeding requiring multiple blood transfusions, she underwent total hysterectomy with bilateral salpingo-oophorectomy. Unexpectedly, however, histopathological examination revealed metastatic carcinoma, consistent with breast origin.The metastatic tumor involved the uterine corpus with spreading to the endocervix, left ovary, and multiple lymphovascular invasion was present. We described the rarity and risk of metastatic uterine cancer in patient with history of malignant tumor treatment.

Keyword

Breast cancer; Cervical neoplasms; Hysterectomy; Metastasis; Menorrhagia
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