자궁근종으로 전이된 유방암 1례

Abstract

Although extrapelvic tumors have been considered to rarely metastasize to the uterus, primary breast carcinoma is the most common type involved. In March, 1995, a 46-year-old woman presented with hypermenorrhea. The pelvic examination showed that the uterus was about the size of 16 weeks gestation, symmetrically enlarged, nontender, and without adnexal pathology. Total abdominal hysterectomy revealed an infiltrating lobular carcinoma metastasized from primary breast carcinoma. We treated the patient by bilateral modified radical mastectomy, followed by chemotherapy and hormonal therapy. However, bone metastasis developed in 3 years after the operation, and she died of widespread metastasis in November, 2000. In this paper, we reviewed the incidence of extrapelvic malignancies metastasized to the uterus.