Small cell carcinoma of the uterine corpus manifesting with visual dysfunction.
BACKGROUND
Small cell carcinoma in the uterine corpus rather than the endometrium has not been reported yet which resembles a uterine leiomyosarcoma on an imaging study. Furthermore, gynecologic malignancies manifested as a visual dysfunction render the early suspicion and accurate diagnosis a difficult proposition.


METHODS
A 57-year-old Korean woman was referred to the Department of Obstetrics and Gynecology due to incidentally detected uterine mass. She had been suffering from a visual loss for several weeks. This uterine mass mimicking a leiomyosarcoma on pelvis MRI was identified to be a small cell carcinoma via a transvaginal gun biopsy and consequent immunostaining. The patient was then scheduled to undergo a regimen of chemotherapy with etoposide and carboplatin.


CONCLUSIONS
Small cell carcinoma may arise from the uterine corpus rather than the endometrium and may also be accompanied by visual symptoms.
Ju
Woong
W
Department of Obstetrics and Gynecology, College of Medicine, Ewha Womans University, Yang Chun-Ku, Seoul, Republic of Korea. goodmorning@ewha.ac.kr
Park
In Ae
IA
Kim
Sun Ho
SH
Lee
Sang Eun
SE
Kim
Seung Cheol
SC
D018288:Carcinoma, Small Cell / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D016889:Endometrial Neoplasms / Q000175:diagnosis; D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000175:diagnosis; D008875:Middle Aged; D010257:Paraneoplastic Syndromes / Q000209:etiology; D014594:Uterine Neoplasms / Q000150:complications* / Q000175:diagnosis; D014786:Vision Disorders / Q000209:etiology*