title: Grade 1 endometrioid endometrial carcinoma presenting with pelvic bone metastasis: a case report and review of the literature.
abstract: Most grade 1 endometrioid endometrial cancers are confined to the uterus at the time of diagnosis and confer a good prognosis. Rarely will a grade 1 endometrioid endometrial carcinoma present with distant metastasis, especially to the bone. We present the case of a 56-year-old woman with postmenopausal bleeding and right hip pain due to metastatic grade 1 endometrioid uterine cancer invading into the right ischium. We discuss treatment options as well as provide a review of prior published reports on bony metastasis in grade 1 endometrioid endometrial cancers. To date, this case is one of 10 others which demonstrates that even a well-differentiated, low-grade endometrioid endometrial carcinoma can progress in a highly aggressive manner.
authors.affiliation: Department of Obstetrics and Gynecology, Westchester Medical Center of New York Medical College, Munger Pavilion, Room 617, Valhalla, NY 10595, USA.
authors.forename: My-Linh T
authors.initials: ML
authors.lastname: Nguyen
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Lafargue
authors.forename: Tarah L
authors.initials: TL
authors.lastname: Pua
authors.forename: Sean S
authors.initials: SS
authors.lastname: Tedjarati