Hepatocellular carcinoma presenting as uterine metastasis.
Metastatic extragenital cancer that spreads to the uterus is rare. When it occurs, the extragenital primary disease is often in the breast or gastrointestinal tract. We report here on a case of hepatocellular carcinoma (HCC) that metastasis to the uterus. The patient was admitted for evaluation of a pelvic mass. The serum alpha-fetoprotein level was highly elevated. Magnetic resonance imaging of the abdomen and pelvis showed hepatic and uterine masses. The patient underwent surgical treatment. The histopathologic findings and immunohistochemical staining results of the uterine mass were characteristics of metastatic HCC. The endometrium and both ovaries were free of tumor. Up to now, there have been only two cases of uterine metastasis from HCC reported in the English literature. This case is the first documented instance of a metastatic uterine tumor from HCC that spared both ovaries.
Kang
Woo Dae
WD
Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea.
Kim
Cheol Hong
CH
Cho
Moon Kyung
MK
Kim
Jong Woon
JW
Lee
Ji Shin
JS
Kim
Yoon Ha
YH
Choi
Ho Sun
HS
Kim
Seok Mo
SM
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