Rare Distal Metastasis of Endometrial Adenocarcinoma Impersonating as Primary Colon Cancer

An 89-year-old Caucasian female with a recent diagnosis of endometrial adenocarcinoma status post hysterectomy and acute deep vein thrombosis on anticoagulation presented with hematochezia. Colonoscopy revealed sigmoid colon stricture with the biopsy findings of metastatic endometrial adenocarcinoma...

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Main Authors: Alexia Jauregui MD, Mahesh Gajendran MD, MPH, FACP, Priyadarshini Loganathan MD, Angelica Padilla MD, Jesse Qiao MD, Sherif Elhanafi MD
Format: Article
Language:English
Published: SAGE Publishing 2021-08-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/23247096211039943
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author Alexia Jauregui MD
Mahesh Gajendran MD, MPH, FACP
Priyadarshini Loganathan MD
Angelica Padilla MD
Jesse Qiao MD
Sherif Elhanafi MD
author_facet Alexia Jauregui MD
Mahesh Gajendran MD, MPH, FACP
Priyadarshini Loganathan MD
Angelica Padilla MD
Jesse Qiao MD
Sherif Elhanafi MD
author_sort Alexia Jauregui MD
collection DOAJ
description An 89-year-old Caucasian female with a recent diagnosis of endometrial adenocarcinoma status post hysterectomy and acute deep vein thrombosis on anticoagulation presented with hematochezia. Colonoscopy revealed sigmoid colon stricture with the biopsy findings of metastatic endometrial adenocarcinoma based on positive immunohistochemistry staining for cytokeratin 7, paired box gene 8, and estrogen receptor. The oncologist referral was given to the patient for consideration of chemotherapy, but she decided to go with palliative care. Thus far, only 2 similar cases have been published in the literature. Our case exemplifies the potential for an unconventional pattern of metastasis of primary endometrial adenocarcinoma to the colon.
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spelling doaj.art-cb519f5ec18249bda109bf25e6e613462022-12-21T18:36:58ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962021-08-01910.1177/23247096211039943Rare Distal Metastasis of Endometrial Adenocarcinoma Impersonating as Primary Colon CancerAlexia Jauregui MD0Mahesh Gajendran MD, MPH, FACP1Priyadarshini Loganathan MD2Angelica Padilla MD3Jesse Qiao MD4Sherif Elhanafi MD5Texas Tech University Health Sciences Center, El Paso, TX, USAUT Health San Antonio, El Paso, TX, USATexas Tech University Health Sciences Center, El Paso, TX, USATexas Tech University Health Sciences Center, El Paso, TX, USATexas Tech University Health Sciences Center, El Paso, TX, USATexas Tech University Health Sciences Center, El Paso, TX, USAAn 89-year-old Caucasian female with a recent diagnosis of endometrial adenocarcinoma status post hysterectomy and acute deep vein thrombosis on anticoagulation presented with hematochezia. Colonoscopy revealed sigmoid colon stricture with the biopsy findings of metastatic endometrial adenocarcinoma based on positive immunohistochemistry staining for cytokeratin 7, paired box gene 8, and estrogen receptor. The oncologist referral was given to the patient for consideration of chemotherapy, but she decided to go with palliative care. Thus far, only 2 similar cases have been published in the literature. Our case exemplifies the potential for an unconventional pattern of metastasis of primary endometrial adenocarcinoma to the colon.https://doi.org/10.1177/23247096211039943
spellingShingle Alexia Jauregui MD
Mahesh Gajendran MD, MPH, FACP
Priyadarshini Loganathan MD
Angelica Padilla MD
Jesse Qiao MD
Sherif Elhanafi MD
Rare Distal Metastasis of Endometrial Adenocarcinoma Impersonating as Primary Colon Cancer
Journal of Investigative Medicine High Impact Case Reports
title Rare Distal Metastasis of Endometrial Adenocarcinoma Impersonating as Primary Colon Cancer
title_full Rare Distal Metastasis of Endometrial Adenocarcinoma Impersonating as Primary Colon Cancer
title_fullStr Rare Distal Metastasis of Endometrial Adenocarcinoma Impersonating as Primary Colon Cancer
title_full_unstemmed Rare Distal Metastasis of Endometrial Adenocarcinoma Impersonating as Primary Colon Cancer
title_short Rare Distal Metastasis of Endometrial Adenocarcinoma Impersonating as Primary Colon Cancer
title_sort rare distal metastasis of endometrial adenocarcinoma impersonating as primary colon cancer
url https://doi.org/10.1177/23247096211039943
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