Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | joi, 22 august 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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MULTIPLE COLONIC AND GASTRIC METASTASIS OF ENDOMETRIAL ADENOCARCINOMA - CASE REPORT
C. Molnar (1), Ecaterina Daniela Dobru (2), C. Copotoiu (1), C. Silaghi (1), V.I Neagoe (1), Doina Milutin (3),
A. Panţîru (1), C.V. Molnar (4)
1) Surgical Clinic 1, Emergency Clinical County Hospital Târgu Mureş, Romania
2) Gastroenterology Clinic 1, Emergency Clinical County Hospital Târgu Mureş, Romania
3) Pathology Department, Emergency Clinical County Hospital Târgu Mureş, Romania
4) Obstetrics-Gynecology Clinic 1, Emergency Clinical County Hospital Târgu Mureş, Romania
Jurnalul de chirurgie (Iaşi). 2013; 9(4): 339-343.
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Abstract:

INTRODUCTION: In the gynecological malignancies endometrial adenocarcinoma is the second most common, giving early hematogenous and lymphatic metastasis to the lungs, brain and bones. CASE REPORT: We present the case of a 71 year old patient who underwent surgery two years ago for endometrial adenocarcinoma and followed postoperatively multimodal oncological treatment. The patient was admitted in January 2013 in the First Surgery Clinic of the Emergency Clinical County Hospital Târgu Mureş, Romania, for chronic anemia, consumptive disease signs and subocclusive syndrome. The preoperative exams (upper and lower gastrointestinal endoscopy, thoraco-abdominal computed tomography and ultrasound) found a tumor invading right, transverse and sigmoid colon as well as gastric antrum and spleen. A subtotal colectomy with ileo-rectal anastomosis was then performed associated with distal gastrectomy and splenectomy. The histopathological exams revealed gastric and colonic metastasis from the endometrial serous cancer operated two years ago. The postoperative evolution was uneventful. CONCLUSIONS: Endometrial cancer can metastasize to the colon and stomach even without the presence of endometriosis. Multivisceral resections and preoperative exams of the digestive tract are justified in terms of subjective complaints of an occlusive simptomatology.

KEY WORDS: ENDOMETRIAL ADENOCARCINOMA; COLONIC METASTASIS; GASTRIC METASTASIS; SUBTOTAL COLECTOMY; MULTIVISCERAL RESECTIONS

SHORT TITLE: Colonic and gastric metastasis from endometrial adenocarcinoma

HOW TO CITE: Molnar C, Dobru ED, Copotoiu C, Silaghi C, Neagoe VI, Milutin D, Panţîru A, Molnar CV. Multiple colonic and gastric metastases of endometrial adenocarcinoma – case report. Jurnalul de chirurgie (Iaşi). 2013; 9(4): 339-343. DOI: 10.7438/1584-9341-9-4-6.



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.