Case Report

Endometrial cancer with bone marrow metastases: a management dilemma

Published in: Southern African Journal of Gynaecological Oncology
Volume 9 , issue 2 , 2017 , pages: 22–24

DOI: 10.1080/20742835.2017.1394628

Author(s): Bt Guzha Division of Gynaecology Oncology, Department of Obstetrics and Gynaecology, South Africa , T Adams Division of Gynaecology Oncology, Department of Obstetrics and Gynaecology, South Africa , L Rogers Division of Gynaecology Oncology, Department of Obstetrics and Gynaecology, South Africa , N Mbatani Division of Gynaecology Oncology, Department of Obstetrics and Gynaecology, South Africa , H-t Wu South African Medical Research Council (SAMRC)/University of Cape Town (UCT) Gynaecological Cancer Research Centre, South Africa , N Fakie South African Medical Research Council (SAMRC)/University of Cape Town (UCT) Gynaecological Cancer Research Centre, South Africa , J Opie Division of Haematology Pathology, South Africa , La Denny Division of Gynaecology Oncology, Department of Obstetrics and Gynaecology, South Africa

Keywords: infiltration , Grade 3 endometrioid endometrial cancer , leucoerythroblastic blood film , mortality , palliative care

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Abstract

A case is presented of a 67-year-old woman referred to the authors’ institution with endometrioid endometrial cancer with a leucoerythroblastic blood film and marked thrombocytopenia. On further evaluation, it was confirmed that she had grade 3 endometrial cancer with bone marrow involvement (FIGO stage IVB). This is a rare complication of endometrial cancer and her marked thrombocytopenia severely limited her treatment options.

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