TY - JOUR
T1 - Brain metastasis in two patients with stage IA papillary serous carcinoma of the uterus
AU - Narasimhulu, Deepa M.
AU - Khulpateea, Neekianund
AU - Meritz, Keith
AU - Xu, Yiquing
N1 - Publisher Copyright:
© 2015 The Authors. Published by Elsevier Inc.
PY - 2015/8/1
Y1 - 2015/8/1
N2 - We report two cases of brain metastasis in patients initially diagnosed with extremely early stage UPSC after extensive staging surgery. They did not receive either adjuvant chemotherapy or adjuvant pelvic or vaginal cuff radiation. At the same time that these patients were diagnosed with systemic metastasis, they both had a local "drop" metastasis in the vulva or the vaginal cuff. After the initial response to palliative chemotherapy, they both developed brain metastasis. The pattern of recurrence with the lack of adjuvant treatment underscores the urgent need in further evaluation of the potential benefits of adjuvant treatment, including chemotherapy and possibly in combination with radiation in this highly aggressive disease.
AB - We report two cases of brain metastasis in patients initially diagnosed with extremely early stage UPSC after extensive staging surgery. They did not receive either adjuvant chemotherapy or adjuvant pelvic or vaginal cuff radiation. At the same time that these patients were diagnosed with systemic metastasis, they both had a local "drop" metastasis in the vulva or the vaginal cuff. After the initial response to palliative chemotherapy, they both developed brain metastasis. The pattern of recurrence with the lack of adjuvant treatment underscores the urgent need in further evaluation of the potential benefits of adjuvant treatment, including chemotherapy and possibly in combination with radiation in this highly aggressive disease.
KW - Adjuvant chemotherapy
KW - Brain metastasis
KW - Papillary serous carcinoma of the uterus
KW - Pelvic radiation
KW - Vaginal cuff radiation
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U2 - 10.1016/j.gore.2015.04.002
DO - 10.1016/j.gore.2015.04.002
M3 - Article
AN - SCOPUS:84964789021
SN - 2211-338X
VL - 13
SP - 1
EP - 4
JO - Gynecologic Oncology Case Reports
JF - Gynecologic Oncology Case Reports
ER -