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Mil Med. 2010 Sep;175(9):691-2.

Undifferentiated uterine sarcoma presenting as a pathologic humerus fracture.

Author information

  • 1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Brooke Army Medical Center, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA.

Abstract

BACKGROUND:

Undifferentiated uterine sarcomas are rare malignancies often presenting at advanced stage.

CASE:

A female in her ninth decade presented to our MEDCEN emergency department complaining of onset of severe right arm pain while performing activities of daily living. A pathologic humeral fracture was diagnosed and subsequent orthopedic evaluation resulted in a biopsy and placement of her arm in a cooptation splint and sling. An abdominal exam revealed a 10-cm mass in the right lower quadrant that was thought to originate from the uterus. Computed tomography imaging was concerning for a primary endometrial process and she was referred to gynecologic oncology. Her humeral biopsy was consistent with a poorly differentiated metastatic sarcoma. An endometrial biopsy was consistent with undifferentiated uterine sarcoma, the origin of her humeral lesion.

CONCLUSION:

Humeral metastasis is an uncommon presentation for undifferentiated endometrial sarcomas.

PMID:
20882934
[PubMed - indexed for MEDLINE]
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