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New research on the rare BONE METS as a site of endometrial cancer recurrence:

lindaprocopio's picture
lindaprocopio
Posts: 2022
Joined: Oct 2008

(I post this stuff because it is brand-new research; and I think it's important that we capture all the data we can find, and archive it here so that it is available if any of us ever need it):

Clinicopathologic Features of Bone Metastases and Outcomes in Patients With Primary Endometrial Cancer
Gynecol Oncol. 2010 May 1;117(2):229-233, SM Kehoe, O Zivanovic, SE Ferguson, RR Barakat, RA Soslow

ABSTRACT
Clinical and pathologic features of endometrial cancer metastatic to bone are described from a chart review of 21 patients.

Objective: Patients with advanced or recurrent endometrial cancer often have distant metastases found within the lymph nodes, liver, and/or lung. However, there have been reported cases of primary endometrial cancer with metastasis to the bone. The objective of this study was to describe the clinical and pathologic features of endometrial cancer metastatic to bone.

Methods: A retrospective chart review of our clinical and pathology database was performed to identify women diagnosed with endometrial cancer metastatic to the bone between 1990 and 2007. Clinical data and outcomes were obtained from medical records. Slides were re-reviewed to confirm the diagnosis.

Results: Twenty-one patients with endometrial cancer metastatic to the bone were identified; in 12 patients (57%), the diagnosis was confirmed by a bone biopsy. The median age of diagnosis of primary endometrial cancer was 60 years (range, 32–84). Fourteen patients (67%) had FIGO stage III/IV disease. Six patients (29%) had a bone metastasis at the time of diagnosis while 15 patients (71%) had a bone lesion as a recurrence. The median time to a diagnosis of bone metastasis recurrence was 10 months (range, 3–148). The overall survival of those patients with bone metastases at primary diagnosis was 17 months (95% CI: 2–32) compared to 32 months (95% CI: 14–49) for those with a recurrent bone metastasis.

Conclusion: Although a rare event, endometrial cancer can metastasize to the bone. If a bone lesion is identified, treatment using a multimodality approach is reasonable, especially if found as an isolated recurrence.

SuziDezi's picture
SuziDezi
Posts: 25
Joined: Dec 2009

Thanks for all the information you bring to this discussion Linda. During my chemo I met Kim, an endometrial cancer patient who had a bone lesion in her leg. I don't know if it was there at the beginning or not because the oncologists systematically ignored her complaints about a sore leg. It was her family doctor who finally agreed to take a closer look and x-rays found the lesion. Doctors all over need help in keeping up with the knowledge base!

Suze

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