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Femoral Fracture as the Initial Presentation of Endometrial Cancer: a Case Report

以股骨骨折為初始表現的子宮內膜癌:病例報告

摘要


A 60-year-old women suffered from pathologic fracture of right femur and received open reduction and internal fixation. The pathologic report of bone specimen was metastatic carcinoma. After tumor survey, she received diagnostic dilatation and curettage and a diagnosis of endometrial endometrioid carcinoma (EEC) was made. PET scan showed multiple metastases including bone, brain, and lung metastases. A stage IVB endometrial EEC was impressed. The patient refused further chemotherapy and radiotherapy. She passed away due to progression of brain metastases 3 months after operation. Bone metastases from endometrial carcinoma is an unusual condition. It indicates delayed of diagnosis and is associated with poor outcome. A bone biopsy with immunohistochemical staining may help in the differential diagnosis of the primary tumor site.

並列摘要


以骨轉移合併骨折為初始表現的子宮內膜癌是一種極為罕見的情形。在本文中,我們報告一名60歲的女性患者,該患者因股骨骨折送醫。經手術後發現是骨轉移造成的病理性骨折,來源是子宮內膜癌。最後診斷為第四期的子宮內膜癌。病患術後拒絕化學治療或放射線治療並於三個月後死亡。

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骨轉移之子宮內膜癌

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