ABSTRACT
Las metástasis del cáncer de mama en útero son raras y generalmente, cuando existen, los ovarios suelen estar afectados como muestra de una enfermedad diseminada. Sólo hay 14 casos descritos de metástasis de un carcinoma de mama en un pólipo endometrial en pacientes tratadas con tamoxifeno. Tanto su evolución, como su pronóstico son inciertos. Presentamos un caso de metástasis en un pólipo endometrial de un carcinoma lobulillar de mama con buena evolución posterior y un período libre de enfermedad de 5 años(AU)
Metastases to uterus from breast cancer are rare, and in most of the cases the ovaries are also involved. Metastases from breast cancer to an endometrial polyp have been only described in 14 cases; therefore the prognosis and survival are uncertain. We described a case of metastasis from breast carcinoma to an endometrial polyp in a patient who received tamoxifen therapy, with a good outcome and disease-free at 5-years(AU)
Subject(s)
Humans , Female , Adult , Carcinoma, Lobular/complications , Carcinoma, Lobular/diagnosis , Carcinoma, Lobular , Endometrial Hyperplasia/complications , Endometrial Hyperplasia , Uterine Diseases/pathology , Uterine Diseases , Endometrial Neoplasms/complications , Tamoxifen/therapeutic use , Carcinoma, Lobular/drug therapy , Carcinoma, Lobular/physiopathology , Endometrial Stromal Tumors/complicationsABSTRACT
La neoplasia primaria de trompa de Falopio es una entidad poco frecuente. El diagnóstico preoperatorio es difícil y en muchas ocasiones es un hallazgo intraoperatorio o un diagnóstico histopatológico. Presentamos un caso de cáncer primario de trompa en una mujer de 61 años con algias pélvicas de un mes de evolución, masa pélvica izquierda dolorosa y Ca 125 elevado. Las pruebas diagnósticas fueron compatibles con patología uterina maligna (sarcoma uterino) o patología neoplásica ovárica izquierda con infiltración uterina como segunda posibilidad. El resultado histológico fue de carcinoma indiferenciado de trompa izquierda que infiltra pared uterina en cuerpo y cérvix. Actualmente, la paciente se encuentra sometida a tratamiento quimioterápico (AU)
Primary carcinoma of the fallopian tube is a rare entity. Preoperative diagnosis is difficult and these tumors are usually detected during surgery or on histopathological examination. We describe the case of a 61-year-old woman with pelvic pain, left adnexal mass and elevated Ca125 levels. Diagnostic tests were compatible with uterine sarcoma or primary left ovarian carcinoma with uterine invasion. Histopathological analysis showed a primary undifferentiated carcinoma of the left fallopian tube involving the uterus and cervix. The patient is currently undergoing chemotherapy (AU)
Subject(s)
Humans , Female , Middle Aged , Carcinoma/complications , Carcinoma/diagnosis , Fallopian Tube Neoplasms/complications , Fallopian Tube Neoplasms/diagnosis , Laparotomy/methods , /methods , Immunohistochemistry/methods , Immunohistochemistry , Hysterectomy/methods , Carcinoma/physiopathology , Carcinoma , Fallopian Tube Neoplasms/physiopathology , Fallopian Tube Neoplasms , Diagnosis, Differential , PrognosisABSTRACT
Vesical clear cell adenocarcinoma is an uncommon tumour. The description of nearly all published cases focuses on histological issues, providing few clinical particulars and limited followup. The treatment choice is resection. No publications have been found regarding systemic treatments for advanced disease. We present a case of metastatic clear cell adenocarcinoma of the bladder treated with chemotherapy.
