8 – Year Survival of a 23- Year-old with Endometriod Adenocarci noma of the Uterus Stage 4B

Abstract

Endometrial carcinoma (EC) usually occurs at after their thirties. A patient with stage IV EC usually shows short life expec
tancy. Here, we describe a unique stage IV EC patient, unique in that 1) she was 23 years old and 2) she survived 8 years. A 
23-year old woman had heavy bleeding and the condition was diagnosed as uterine myoma: myomectomy was performed; 
during the surgery bloody ascites was noted and histological examination of resected uterine tissue (initially considered as 
myoma) revealed EC. Diagnosing this condition as EC, after informed consent, total abdominal hysterectomy with bilateral 
salpingo-oophorectomy with omentectomy was performed. Also, intra-surgical examination revealed the presence of sub-di
aphragmatic metastatic lesion, which was resected. Reduction surgery was successfully performed; however, the cancer 
recurred, to which chemotherapy and irradiation was performed; she died after 8 years. We did not save her life; however, 
she lived 8 years in self-dependent manner. We believe that adequate initial debulking surgery, favorable responses to the 
chemotherapy, and palliative radiotherapy may be the reason for this long survival. The present case may offer useful insight 
into the clinical management of stage IV EC in a young patient.