Metástasis aislada en ganglios paraaórticos en adenocarcinoma de endometrio. Reporte de un caso

The presence of metastases in para-aortic nodes is one of the most important prognostic factors for endometrial cancer, and it may be the only site of metastatic disease, the probability of which in the absence of metastases in pelvic nodes is remote. We describe a case of a 69-year-old patient who consulted for postmenopausal bleeding of 3 months of evolution with a result of an endometrial biopsy that reported moderately differentiated endometrioid adenocarcinoma. After carrying out extension studies, she was taken to staging surgery plus resection of the para-aortic lymph node plastron; with favorable postoperative evolution. Para-aortic lymph node metastasis was the only site of extrauterine disease, therefore this pattern of lymphatic dissemination without involvement of the pelvic nodes must be taken into account in order to determine the strategies for the management of patients. Keywords: Endometrial cancer, Paraaortic lymph Nodes, Pelvic lymph nodes, Isolated metastasis.