Endometrial cancer with implantation metastasis to vagina: a case report

Authors

  • Muhammad Eimaduddin Sapiee Department of Obstetrics and Gynecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia
  • Wan Rosmidah Wan Abas Department of Obstetrics and Gynecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia
  • Roziana Ramli Department of Obstetrics and Gynecology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia
  • Muhd Afif Mohd Yusof Department of Pathology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia
  • Ahmad Fazlin Nasaruddin Department of Pathology, Hospital Sultanah Nur Zahirah, Kuala Terengganu, Terengganu, Malaysia

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20200922

Keywords:

Endometrial cancer, Endometrioid carcinoma, Vaginal implantation metastasis

Abstract

Authors present a case of vaginal implantation metastasis following a diagnosis of endometrial cancer. A 58-year-old lady presented with postmenopausal bleeding and was later diagnosed to have endometrial cancer. She underwent an extra-fascial hysterectomy and bilateral salpingo-oophrorectomy with pelvic lymphadenectomy for Stage 3A endometrioid adenocarcinoma of the endometrium. The lymph nodes and cervix were free from the disease and no lymphovascular invasion was seen on the pathological specimen. She defaulted adjuvant radiotherapy and was lost to follow up. Six months later she had a tumour recurrence at the vaginal introitus just below the urethral orifice and awal from the vaginal vault with similar histopathological findings as previous cancer. This case highlights the rare occurrence of implantation metastasis of endometrial cancer.

References

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Published

2020-02-27

Issue

Section

Case Reports