Chylaskos as a presentation of serous papillary adenocarcinoma of the endometrium: a case report
- Autores: Maria Inês Sequeira, Tiago Borges, Isabel Camões
- Localización: Galicia Clínica, ISSN 0304-4866, ISSN-e 1989-3922, Vol. 78, Nº. 2, 2017, págs. 82-83
- Idioma: inglés
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Resumen
A 77-year-old female was presented to the emergency department with intense anorexia, weight loss despite progressive abdominal distension, and dyspnea.
Abdomen imaging studies revealed moderate-volume ascites and a hepatic space-occupying lesion. Diagnostic paracentesis allowed the drainage of a chylous effusion and cytology analysis identified adenocarcinoma cells. Hepatic metastasis of papillary serous adenocarcinoma of the endometrium was confirmed after tomography-guided biopsy.
Endometrial carcinoma is the most common malignant gynecological neoplasm in developed countries and is often classified in type I with endometrioid histology (estrogen-dependent) and non endometrioid type II (non-estrogen-dependent). Chylous ascites or chylaskos is a rare presentation on hospital admission. Several etiologies have been described. In adults, solid malignancy is expected to be identified in less than 20% of the cases. Currently only one case of endometrial carcinoma presenting with chylous ascites was described in a systematic review
