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Published in: Journal of Medical Case Reports 1/2023

Open Access 30-10-2023 | Endometrial Cancer | Case report

Dedifferentiated endometrial carcinoma metastasis to axillary lymph node: a case report

Authors: Chase William Morrison, Kayvon Nick Sanjasaz, Saul David Nathanson, Supriya Raina-Hukku, David Matthew Pinkney, Alexis Anna Davenport

Published in: Journal of Medical Case Reports | Issue 1/2023

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Abstract

Background

We present an unusual case of a left axillary lymph node metastasis from a primary dedifferentiated endometrial carcinoma. This pattern of metastasis is likely the result of circulating tumor cells reaching the node through its arterial blood supply.

Case presentation

In this report, a 68-year-old white woman with a dedifferentiated endometrial carcinoma underwent a hysterectomy. She later developed an enlarged axillary lymph node due to metastatic dedifferentiated endometrial carcinoma, treated with chemotherapy and anti-programmed cell death protein 1 immunotherapy resulting in a complete clinical and radiological response.

Conclusion

A review of the literature reveals the rarity of blood-borne lymph node metastasis, especially with uterine carcinoma. Immunotherapy has shown promising results in the treatment of some subtypes of metastatic uterine carcinoma.
Literature
2.
go back to reference Virchow R. Cellular pathology. Philadelphia: JB Lippincott; 1863. Virchow R. Cellular pathology. Philadelphia: JB Lippincott; 1863.
5.
go back to reference Zhu Q, Li L, Jiao X, Xiong J, Zhai S, Zhu G, Cheng P, Qu J. Rare metastasis of gastric cancer to an axillary lymph node: a case report. Front Oncol. 2022;12:995738.CrossRefPubMedPubMedCentral Zhu Q, Li L, Jiao X, Xiong J, Zhai S, Zhu G, Cheng P, Qu J. Rare metastasis of gastric cancer to an axillary lymph node: a case report. Front Oncol. 2022;12:995738.CrossRefPubMedPubMedCentral
6.
go back to reference Riquet M, Le Pimpec-Barthes F, Danel C. Axillary lymph node metastases from bronchogenic carcinoma. Ann Thorac Surg. 1998;66:920–2.CrossRefPubMed Riquet M, Le Pimpec-Barthes F, Danel C. Axillary lymph node metastases from bronchogenic carcinoma. Ann Thorac Surg. 1998;66:920–2.CrossRefPubMed
7.
go back to reference Sanuki JI, Uchida Y, Uematsu T, Yamada Y, Kasami M. Axillary mass suspected to be occult breast carcinoma: a case study of skipped axillary lymph node metastasis from endometrial carcinoma in which core-needle biopsy was useful for diagnosis. Breast Cancer Tokyo Jpn. 2009;16(1):72–6. https://doi.org/10.1007/s12282-008-0053-0.CrossRef Sanuki JI, Uchida Y, Uematsu T, Yamada Y, Kasami M. Axillary mass suspected to be occult breast carcinoma: a case study of skipped axillary lymph node metastasis from endometrial carcinoma in which core-needle biopsy was useful for diagnosis. Breast Cancer Tokyo Jpn. 2009;16(1):72–6. https://​doi.​org/​10.​1007/​s12282-008-0053-0.CrossRef
11.
go back to reference Tung H, Wu R, Lin C, Lai C. Rare subtype of endometrial cancer: undifferentiated/dedifferentiated endometrial carcinoma, from genetic aspects to clinical practice. Int J Mol Sci. 2022;23(7):3794.CrossRefPubMedPubMedCentral Tung H, Wu R, Lin C, Lai C. Rare subtype of endometrial cancer: undifferentiated/dedifferentiated endometrial carcinoma, from genetic aspects to clinical practice. Int J Mol Sci. 2022;23(7):3794.CrossRefPubMedPubMedCentral
12.
go back to reference Silva EG, Deavers MT, Malpica A. Undifferentiated carcinoma of the endometrium: a review. Pathology. 2007;39(1):134–8.CrossRefPubMed Silva EG, Deavers MT, Malpica A. Undifferentiated carcinoma of the endometrium: a review. Pathology. 2007;39(1):134–8.CrossRefPubMed
13.
go back to reference Choo ALE, Sim LS, Sittampalam K, Tan WC, Tay AZE, Nadarajah R, et al. Breast metastasis from endometrial clear cell carcinoma: a case report and review of the literature. Front Oncol. 2023;12:1070744.CrossRefPubMedPubMedCentral Choo ALE, Sim LS, Sittampalam K, Tan WC, Tay AZE, Nadarajah R, et al. Breast metastasis from endometrial clear cell carcinoma: a case report and review of the literature. Front Oncol. 2023;12:1070744.CrossRefPubMedPubMedCentral
14.
15.
go back to reference Brown M, Assen FP, Leithner A, Abe J, Schachner H, Asfour G, et al. Lymph node blood vessels provide exit routes for metastatic tumor cell dissemination in mice. Science. 2018;359:1408–11.CrossRefPubMed Brown M, Assen FP, Leithner A, Abe J, Schachner H, Asfour G, et al. Lymph node blood vessels provide exit routes for metastatic tumor cell dissemination in mice. Science. 2018;359:1408–11.CrossRefPubMed
16.
go back to reference Pereira ER, Kedrin D, Seano G, Gautier O, et al. LN mets can invade local blood vessels, exit the node, and colonize distant organs in mice. Science. 2018;359:1403–7.CrossRefPubMedPubMedCentral Pereira ER, Kedrin D, Seano G, Gautier O, et al. LN mets can invade local blood vessels, exit the node, and colonize distant organs in mice. Science. 2018;359:1403–7.CrossRefPubMedPubMedCentral
17.
go back to reference Abeler VM, Vergote IB, Kjorstad KE, et al. Clear cell carcinoma of the endometrium: prognosis and metastatic pattern. Cancer. 1996;78:1740–7.CrossRefPubMed Abeler VM, Vergote IB, Kjorstad KE, et al. Clear cell carcinoma of the endometrium: prognosis and metastatic pattern. Cancer. 1996;78:1740–7.CrossRefPubMed
18.
go back to reference Paget J. On the average duration of life in patients with scirrhous cancer of the breast. Lancet. 1856;1:62–3.CrossRef Paget J. On the average duration of life in patients with scirrhous cancer of the breast. Lancet. 1856;1:62–3.CrossRef
24.
go back to reference Lakhwani P, Agarwal P, Goel A, Nayar N, Pande P, Kumar K. High-grade endometrial cancer-behaviour and outcomes at a tertiary cancer centre. Indian J Surg Oncol. 2019;10(4):662–7.CrossRefPubMedPubMedCentral Lakhwani P, Agarwal P, Goel A, Nayar N, Pande P, Kumar K. High-grade endometrial cancer-behaviour and outcomes at a tertiary cancer centre. Indian J Surg Oncol. 2019;10(4):662–7.CrossRefPubMedPubMedCentral
26.
go back to reference Mountzios G, Pectasides D, Bournakis E, Pectasides E, Bozas G, Dimopoulos M, et al. Developments in the systemic treatment of endometrial cancer. Crit Rev Oncol Hematol. 2011;79(3):278–92.CrossRefPubMed Mountzios G, Pectasides D, Bournakis E, Pectasides E, Bozas G, Dimopoulos M, et al. Developments in the systemic treatment of endometrial cancer. Crit Rev Oncol Hematol. 2011;79(3):278–92.CrossRefPubMed
29.
go back to reference Karpel H, Slomovitz B, Coleman RL, Pothuri B. Biomarker-driven therapy in endometrial cancer. Int J Gynecol Cancer. 2023;33(3):343–50.CrossRefPubMed Karpel H, Slomovitz B, Coleman RL, Pothuri B. Biomarker-driven therapy in endometrial cancer. Int J Gynecol Cancer. 2023;33(3):343–50.CrossRefPubMed
Metadata
Title
Dedifferentiated endometrial carcinoma metastasis to axillary lymph node: a case report
Authors
Chase William Morrison
Kayvon Nick Sanjasaz
Saul David Nathanson
Supriya Raina-Hukku
David Matthew Pinkney
Alexis Anna Davenport
Publication date
30-10-2023
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2023
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-023-04192-6

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