Metástasis pulmonares de un adenocarcinoma de endometrio. Tratamiento hormonal

We present a case of endometrial endometrioid adenocarcinoma that was initially treated by presurgical external radiotherapy plus total abdominal hysterectomy and bilateral annexectomy plus postsurgical brachytherapy. Three years later the patient presented bilateral lung metastases. The suspected diagnosis of lung metastases was made in routine screening with abdomino-pelvic computed tomography (CT) with subsequent chest CT. The diagnosis was confirmed by fine-needle aspiration of the major pulmonary lesion. Treatment consisted of high-dose gestagens: medroxyprogesterone acetate (MAP) 200 mg/day for an indefinite period. The patient continues in complete remission after 5 years of treatment.