Abstract
Acetabulum is uncommon extraordinary place for endometrial cancer metastasis. Here we report a case of primary bone metastasis as initial presentation of the endometrial cancer. A 67 years old nulliparous Turkish woman admitted to the hospital with right hip pain. Magnetic resonance imaging was realized and a mass in size of 40x66 mm was reported in the posterior of the right acetabulum. Biopsy of the mass was taken and the result was recorded as metastatic adenocarcinoma. PET CT revealed that a mass of approximately 78x63 mm on the right acetabulum and a heterogeneous increase of F-18 FDG uptake (SUVmax: 11.8) was noticed. Further, irregular enlarged endometrial cavity and increased F-18 FDG involvement (SUVmax:13,4) were observed. Endometrial biopsy was applied and the result was reported as endometrial adenocarcinoma FIGO grade 2. In conclusion, endometrial biopsy should be included in the women patient's screening when investigated for metastatic bone adenocarcinoma.
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