Metastatic calcaneal lesion associated with uterine carcinosarcoma.

Abstract

Metastatic lesions of uterine carcinosarcoma most commonly occur in the abdomen and lungs and less frequently in highly vascularized bone. We report a rare case of an 86-year-old female with uterine carcinosarcoma with metastasis to the left calcaneus. The patient had a history of uterine carcinosarcoma with hysterectomy and bilateral salpingo-oophorectomy, along with bilateral pelvic and aortic lymphadenectomy, with no adjuvant therapy. The initial pedal complaint was that of left foot pain. The initial radiographic findings were negative; however, magnetic resonance imaging scans revealed a substantial area of marrow edema in the calcaneus. An excisional biopsy was performed, and histopathologic analysis revealed adenocarcinoma with features consistent with the patient's previous uterine tumor specimen. The patient was given one treatment of chemotherapy and was discharged to a hospice, where she died of her disease 2 weeks later.

• Authors: Brittany M Rice, Nicholas W Todd, Richard Jensen, Shannon M Rush, William Rogers
• Journal: The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons (J Foot Ankle Surg) 2014 May-Jun Vol. 53 Issue 3 Pg. 364-8 ISSN: 1542-2224 [Electronic] United States
• PMID: 23871174 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2014 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Topics

• Aged, 80 and over
• Bone Neoplasms (secondary)
• Calcaneus
• Carcinosarcoma (secondary)
• Female
• Humans
• Uterine Neoplasms (pathology)