TY - JOUR
T1 - Reporte de caso
T2 - Metástasis gástrica de carcinoma endometrial, una localización inusual
AU - Espinel, Santiago Rueda
AU - Perea, María Alejandra Rueda
AU - Correa, Simón Orostegui
N1 - Publisher Copyright:
© 2020 Sociedad Chilena de Obstetricia y Ginecologia. All rights reserved.
PY - 2020/2
Y1 - 2020/2
N2 - Introduction: the endometrial carcinoma is the sixth cancer worldwide. Usually it is diagnosed in early stages. The sites of recurrence includes vaginal cuff and lymph nodes, however some metastasis have been described to vagina, peritoneum and lungs, among others. Case report: Elder female with history of an endometrial carcinoma 7 years ago, surgically treated. With histopathology that reported myometrial infiltration in a 95% without invasion to other organs and lymphadenectomy free of neoplasm (FIGO IB), who consult at the emergency room due to abdominal pain and black stool, with further studies that make evident a gastric lesion with biopsy reported as a poorly differentiated carcinoma, vimentin positive, compatible with gastric metastasis secondary to an endometrial carcinoma. Chemoterapy was indicated, documenting total posterior response of the lesion. Discussion: Secondary lessions in stomach are rare. If they are present at the moment of diagnosis half of the patients concomitantly have metastasis in other organs. The endometrial carcinoma hasn't been described as a common localization that result in this compromise. Conclusion: the case exposed is a clinical challenge, a therapeutic success is shared. Limited evidence is available. Further studies are necessary to evaluate the prognosis, therapeutic options and to define the relevance of screening tests for early detection.
AB - Introduction: the endometrial carcinoma is the sixth cancer worldwide. Usually it is diagnosed in early stages. The sites of recurrence includes vaginal cuff and lymph nodes, however some metastasis have been described to vagina, peritoneum and lungs, among others. Case report: Elder female with history of an endometrial carcinoma 7 years ago, surgically treated. With histopathology that reported myometrial infiltration in a 95% without invasion to other organs and lymphadenectomy free of neoplasm (FIGO IB), who consult at the emergency room due to abdominal pain and black stool, with further studies that make evident a gastric lesion with biopsy reported as a poorly differentiated carcinoma, vimentin positive, compatible with gastric metastasis secondary to an endometrial carcinoma. Chemoterapy was indicated, documenting total posterior response of the lesion. Discussion: Secondary lessions in stomach are rare. If they are present at the moment of diagnosis half of the patients concomitantly have metastasis in other organs. The endometrial carcinoma hasn't been described as a common localization that result in this compromise. Conclusion: the case exposed is a clinical challenge, a therapeutic success is shared. Limited evidence is available. Further studies are necessary to evaluate the prognosis, therapeutic options and to define the relevance of screening tests for early detection.
KW - Endometrial neoplasms
KW - Neoplasm metastasis and stomach
UR - http://www.scopus.com/inward/record.url?scp=85083297985&partnerID=8YFLogxK
U2 - 10.4067/S0717-75262020000100053
DO - 10.4067/S0717-75262020000100053
M3 - Artículo Científico
AN - SCOPUS:85083297985
SN - 0048-766X
VL - 85
SP - 53
EP - 59
JO - Revista Chilena de Obstetricia y Ginecologia
JF - Revista Chilena de Obstetricia y Ginecologia
IS - 1
ER -