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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Metastasis In Pelvic Bone In Case Of Uterine Cancer?

My mother was detected uterus endometrium stage 1c based on MRI. Hystroscopy was done but with vain as the probe could not penetrate through. So a total radical hysterectomy was done. From the specimen, the biopsy report confirmed the malignancy as Stage 2A-1C. Biopsy report also says that no nodes were affected. She was recovering from that surgery. Suddenly she got a pain on her right leg thigh and she was not able to walk. It was detected that she suffered a hipbone fracture. To identify the cause pet ct scan was done and it shows traces of metastatis on the pelvic bone,on few vertebrae of the spinal etc. To mobilise her a hip replacement surgery was done and the ball and socket is replaced. Bone is sent for biopsy and the result is yet to come. What could be the cause for this and what is the suggested treatment plan. My mother is 65 years old.
Wed, 27 Aug 2014
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Oncologist, Radiation 's  Response
Hello,

Bone metastasis in endometrial cancer is rare, but it does occur. Ten percent of early endometrial cancers present with metastasis. Only 1% present with bone metastasis. Cancer has spread to her bone if her PET report is correct. Prior to surgery she would have had very minute spread that she did not have symptoms. We await the bone biopsy result.

She would need radiation to her affected bones if she is symptomatic. If she is asymptomatic no pain, no restricted joint movements, She can be treated with chemotherapy Paclitaxel and carboplatin. Zoledronic acid also is recommended. These treatment options only provide survival benefits and good quality of life but not cure. I'm sure your oncologist is well equipped to handle. Dont worry.


Hope I have answered your query. Let me know if I can assist you further.

Regards,

Dr. Satyesh Nadella
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What Causes Metastasis In Pelvic Bone In Case Of Uterine Cancer?

Hello, Bone metastasis in endometrial cancer is rare, but it does occur. Ten percent of early endometrial cancers present with metastasis. Only 1% present with bone metastasis. Cancer has spread to her bone if her PET report is correct. Prior to surgery she would have had very minute spread that she did not have symptoms. We await the bone biopsy result. She would need radiation to her affected bones if she is symptomatic. If she is asymptomatic no pain, no restricted joint movements, She can be treated with chemotherapy Paclitaxel and carboplatin. Zoledronic acid also is recommended. These treatment options only provide survival benefits and good quality of life but not cure. I m sure your oncologist is well equipped to handle. Dont worry. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Satyesh Nadella