Abstract
A 69-year-old woman underwent surgery for carcinoma of the corpus uteri (serous adenocarcinoma) at the department of gynecology in our hospital in May 2010, when she was in peritonitis carcinomatosa and was diagnosed with carcinoma of the corpus uteri in stage IVB according to the FIGO staging classification (2008). Thereafter the serum level of a tumor marker (CA125) was normalized following adjuvant chemotherapy. So laparoscopic hysterectomy and bilateral adnexectomy with dissection of the retroperitoneal lymph nodes were performed as the tumor debulking surgery. Adjuvant chemotherapy was performed because no macroscopic cancer remnant was confirmed. However, the tumor marker level (CA125) started to increase again and a FDG-PET revealed an abnormal uptake of FDG in the upper abdomen. The patient was thus referred to our department in March 2011. Gastric endoscopy showed an about 2-cm diameter submucosal tumor at the posterior wall of the gastric antrum. The tumor was diagnosed as adenocarcinoma by endoscopic ultrasound-guided fine needle aspiration cytology. A metastatic tumor of the stomach from corpus uteri carcinoma was suspected and laparoscopic-assisted distal gastrectomy was performed.
Clinical cases of metastatic gastric tumor from corpus uteri carcinoma have rarely been reported and we present this case together with a review of the literature.
