title: Endometrial carcinoma with pleural metastasis: A case report.
abstract: BACKGROUND
  There have been a limited number of studies giving the incidence of pleural metastasis from female genital tract tumors.
  
  
  METHODS
  An unusual case occurred of recurrent pleural malignant effusion associated with disseminated serous papillary endometrial adenocarcinoma (EC). A total abdominal hysterectomy with bilateral salpingo-oophorectomy, pelvic lymphadenectomy, appendectomy and omentectomy was performed. Treatment of the pleural malignant effusion consisted of thoracotomy with partial decortication, systemic chemotherapy and radiotherapy. The patient died of circulatory failure 8 months after the primary diagnosis.
  
  
  CONCLUSIONS
  Although the pleura is a rare site of widespread EC, one should recognize the possibility of pleural spread from female genital tract neoplasms presenting with associated symptoms. Cytopathologic examination of the pleural effusion and the finding ofcarcinoma cells mandate an investigation for the primary site of the neoplasm by a multidisciplinary group.
authors.affiliation: IInd Department of Gynecology, Lublin University School of Medicine, Lublin, Poland. andrzej.semczuk@am.lublin.pl
authors.forename: Andrzej
authors.initials: A
authors.lastname: Semczuk
authors.forename: Danuta
authors.initials: D
authors.lastname: Skomra
authors.forename: Pawel
authors.initials: P
authors.lastname: Rybojad
authors.forename: Ryszard
authors.initials: R
authors.lastname: Jeczeń
authors.forename: Tomasz
authors.initials: T
authors.lastname: Rechberger
mesh_terms: D000230:Adenocarcinoma / Q000737:chemistry / Q000556:secondary* / Q000628:therapy; D014408:Biomarkers, Tumor / Q000032:analysis; D003131:Combined Modality Therapy; D016889:Endometrial Neoplasms / Q000737:chemistry / Q000473:pathology* / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008875:Middle Aged; D010997:Pleural Neoplasms / Q000737:chemistry / Q000556:secondary* / Q000628:therapy
chemical_list: D014408:Biomarkers, Tumor