早期子宮体癌根治切除術後の孤立性横隔膜転移

Solitary Diaphragmatic Metastasis after Radical Surgery of Early Endometrial Cancer

悪性腫瘍の孤立性横隔膜転移は非常にまれな疾患である．われわれは，早期子宮体癌根治切除術後に孤立性横隔膜転移をきたし，胸腔鏡補助下に切除した症例を経験したので報告する．

Solitary diaphragmatic metastasis from early endometrial cancer is quite rare. We present a case of a 58-year-old woman who had been performed radical surgery for stageⅠA, G1 endometrial cancer 3 years before. The patient was referred to our hospital for chest abnormal shadow. Computed tomography （CT） and Magnetic resonance imaging （MRI） showed a mass in the right diaphragm, without the finding of liver invasion. We performed partial resection of diaphragm through video-assisted thoracoscopic surgery （VATS）. After surgery, there were no serious complications and was discharged from the hospital on day 6 from surgery. Nine months later, the patient is alive without recurrence.