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Serous carcinoma of endometrium in combination with neuroendocrine small-cell: A case report and literature review

机译:子宫内膜浆液性癌合并神经内分泌小细胞1例并文献复习

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Endometrial serous carcinomas are very clinically aggressive, which constitutes 40% of all deaths and recurrences associated with endometrial cancer. Small-cell carcinoma of the endometrium is relatively rare but aggressive, and often presents a component of endometrioid carcinoma, and is not generally associated with serous carcinoma. Herein, we report a case of 74-year-old African-American female, who presented with intermittent post-menopausal bleeding for 1-month. She underwent robotic-assisted laparoscopic hysterectomy, bilateral salpingo-oophorectomy, sentinel lymph node mapping, and pelvic-and-aortic lymphadenectomy. Final pathology was consistent with serous carcinoma of the endometrium in combination with neuroendocrine small-cell carcinoma. This extremely rare combination of tumors presents a challenge for treatment. The mainstay of treatment seems to be surgery followed by chemotherapy ± radiation therapy. To our knowledge, it represents an under-reported area of gynecological medicine. Highlights ? Small-cell carcinoma of endometrium is rare but aggressive and challenging to care. ? We report a case presenting with intermittent post-menopausal bleeding for 1-month. ? She underwent robotic hysterectomy, BSO, SLN mapping, and complete lymphadenectomy. ? Pathology revealed serous carcinoma of endometrium combined with neuroendocrine SCC. ? To our knowledge, it represents an under-reported area of gynecological medicine.
机译:子宫内膜浆液性癌在临床上非常具有侵略性,占子宫内膜癌相关所有死亡和复发的40%。子宫内膜小细胞癌相对少见,但具有侵袭性,通常是子宫内膜样癌的组成部分,通常与浆液性癌无关。在此,我们报告一例74岁的非洲裔美国女性,其绝经后间歇性出血时间超过1个月。她接受了机器人辅助的腹腔镜子宫切除术,双侧输卵管卵巢切除术,前哨淋巴结标测以及骨盆和主动脉淋巴结清扫术。最终病理与子宫内膜浆液性癌合并神经内分泌小细胞癌一致。这种极为罕见的肿瘤组合对治疗提出了挑战。治疗的主要对象似乎是手术,然后是化学疗法±放射疗法。据我们所知,它代表了妇科医学领域的一个未被充分报道的领域。强调 ?子宫内膜小细胞癌很少见,但具有侵袭性且难以治疗。 ?我们报告一例绝经后间歇性出血> 1个月。 ?她接受了机器人子宫切除术,BSO,SLN定位和完整的淋巴结清扫术。 ?病理显示子宫内膜浆液性癌合并神经内分泌SCC。 ?据我们所知,它代表了妇科医学领域的一个未被充分报道的领域。

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