Small Cell Carcinoma of the Endometrium; A Case Report = Small Cell Carcinoma of the Endometrium; A Case Report

다국어 초록 (Multilingual Abstract)

Small cell carcinoma of the endometrium (SCCE) is extremely rare and has a very poor prognosis. The clinical behaviour of this tumor is usually very aggressive. Standard treatments have not been established. The case of a 47-year-old woman suffering from lower abdominal pain and irregular menstruation are presented. Pelvic examination, ultrasonography, magnetic resonance imaging (MRI) and computed tomography (CT) revealed a heterogenous endometrial mass (6.3 × 5 cm) with endocervical and deep myometrial invasion. In imaging study, multiple bilateral internal iliac lymph node was enlarged and right ovarian mass was shown. Serum CA 125 was 29.09 U/ml. An endometrial curettage was performed and the pathologic finding was squamous cell carcinoma. The patient underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy, bilateral Pelvic and para-aortic lymphadenectomy, omentectomy and appendectomy After the operation, She received chemotheraphy with combination of paclitaxel and carboplatin. After three cycles of the chemotherapy, she refused further chemotherapy. The patient died one year after surgery.