Endometrial cancer recurrence in the sacrum and the Psoas: A case report and literature review

Hayek, Judy; Reddy, Rishika; Goldberg, Gary L.; Alagkiozidis, Ioannis

doi:10.1016/j.gore.2021.100814

Cited by 1 publication

(2 citation statements)

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“…Female genital tract malignancies cause around 27% of MPS cases and represent the most common primary malignancy 4. Numerous cases in the literature have reported gynaecological cancers causing malignant involvement of the psoas muscle, the most common of which being endometrial malignancies 4 14–17. Also of note is that these malignant deposits can be seen to mimic psoas abscesses radiologically 14 16.…”

Section: Discussionmentioning

confidence: 99%

“…Endometrial cancer can metastasise in various ways, for example, direct local extension, transtubal passage, lymphatic drainage and haematogenous dissemination. Usual sites of metastasis include the cervix, parametria, pelvic and para-aortic lymph nodes and lungs, with less common sites being the liver, bones and brain 15 18. When the lungs are involved, the most common pattern is one of multiple nodules (72%), followed by solitary nodules (18%) 19.…”

Section: Discussionmentioning

confidence: 99%

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Psoas muscle metastatic disease mimicking a psoas abscess on imaging

Gunn

Fani

2022

BMJ Case Rep

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Here, we report a case of malignant psoas syndrome presented to us during the second peak of the COVID-19 pandemic. Our patient had a medical history of hypertension, recently diagnosed with left iliac deep vein thrombosis and previous breast and endometrial cancers. She presented with exquisite pain and a fixed flexion deformity of the left hip. A rim-enhancing lesion was seen within the left psoas muscle and was initially deemed to be a psoas abscess. This failed to respond to medical management and attempts at drainage. Subsequent further imaging revealed the mass was of a malignant nature; histology revealing a probable carcinomatous origin. Following diagnosis, palliative input was obtained and, unfortunately, our patient passed away in a hospice shortly after discharge. We discuss the aetiology, radiological findings and potential treatments of this condition and learning points to prompt clinicians to consider this diagnosis in those with a personal history of cancer.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%