子宮内膜吸引細胞診により診断された乳癌由来転移性子宮癌の１例

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  • A case of metastatic uterine carcinoma derived from the breast diagnosed by endometrial aspiration cytology.

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A case of metastatic uterine carcinoma derived from the breast is reported. The patient was a 47-year-old woman who had a history of left mastectomy for breast cancer two years previously. Without any clinical symptoms, cytological examination of endometrial aspirate strongly suggested the existence of tumor cells originating from breast cancer. The endometrial biopsy revealed the metastatic site in the uterus, and CT scan showed a metastatic lesion of the left lobe of the liver. Simple hysterectomy with bilateral salpingo-oophorectomy was performed, and a catheter was inserted into the hepatic artery for chemotherapy. The metastatic site in the uterus, (1.5×0.7cm), was located in the endometrium with invasion into the myometrium. Furthermore, microscopic metastasis was disclosed on the surface of the left ovary. After surgery, the liver metastasis was wellcontrolled by chemotherapy.<BR>Although a poor prognosis has been reported for metastatic uterine carcinoma, the case described in this communication is currently well-managed and followed up with careful observation.

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