Sacral metastasis in a patient with endometrial cancer: case report and review of the literature.
BACKGROUND
Bone involvement in endometrial cancer has been described in less than 15% of the patients with metastatic disease. The medical literature reports 29 cases, although none involving the sacrum.


METHODS
We present a case of a 62-year-old woman who underwent surgery for endometrial adenocarcinoma in December 2002 (FIGO stage IB grade 1). In January 2006, the CT scan revealed a lesion on the inferior side of the sacrum. Rescue surgery, consisted of sacrectomy with en bloc excision of the metastasis. After 26 months of follow up the patient is disease-free.


CONCLUSIONS
This case is unusual for the following reasons: the site of metastasis was the sacrum, metastasis was secondary to a tumour whose histological grade suggested a good prognosis (G1), the patient lacked clinical signs, the diagnosis was fortuitous and because of the surgical treatment pursued and its successful outcome.
Albareda
J
J
Department of Obstetrics and Gynaecology, Fundacion Hospital Alcorcon, Madrid, Spain. jalbareda@fhalcorcon.es
Herrera
M
M
Lopez Salva
A
A
Garcia Donas
J
J
Gonzalez
R
R
D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D001859:Bone Neoplasms / Q000601:surgery*; D016889:Endometrial Neoplasms / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012447:Sacrum / Q000473:pathology* / Q000601:surgery*