Endometrial cancer presenting as a snowball in the pelvis
© Springer-Verlag 2010
Received: 3 May 2010
Accepted: 26 May 2010
Published: 11 June 2010
Endometrial cancer is the commonest gynaecologic malignancy in the west and the third commonest after cervical and ovarian cancer in India . The standard treatment for endometrial cancer has been primary surgery. Locally advanced disease, comprising lymph node metastases, adjacent organ invasion, positive peritoneal cytology or serosal invasion is uncommon and accounts for only 7% of cases . To categorise a patient as having serosal invasion, it is mandatory to have full-thickness myometrial invasion with macroscopic tumour on the uterine surface. We present a patient with serosal disease with spontaneous perforation of the uterine wall by tumour, which presented in a unique manner at laparoscopy.
Declaration of interest
The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.
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