Cholangiocarcinoma Presenting as Uterine Metastasis
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Introduction
Metastatic disease is only rarely found in the female genital tract, and it is even more uncommon when the metastases are restricted to the uterus. The primary tumor is more often localized in another gynecological organ rather than oritinating extragenitally. Uterine metastases are most frequently diagnosed after the development of gynecologic symptoms, in casu abnormal bleeding. Patients will often present with a personal history of a malignancy, but the uterine metastasis may also be the first sign of an extragenital malignancy .

Gallbladder carcinoma is not only a rare but also a highly lethal disease. Prognosis is poor due to the generally advanced stage at the time of diagnosis.

We report a case of cholangiocarcinoma presenting as uterine metastasis.

Case Report
A 26-year-old G4P2A2 Caucasian woman consulted our emergency department after being diagnosed with a uterine malignancy in Turkey after curettage for menorrhagia. Histopathological examination was suspect for a carcinosarcoma.

Besides obesity, clinical examination was normal. Her appearance was normal without any jaundice. There was no hepatosplenomegaly, nor any lymphadenopathies. In addition, palpation of the breasts showed no abnormalities. A proper gynecological exam was not possible because extreme vaginismus hindered vaginal examination. Vaginal ultrasound showed an enlarged uterus with a normal aspect of the myometrium and a regular delineated endometrium....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4294282/
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