Primary Squamous Cell Carcinoma of the Endometrium : A Rare Case in the Philippines

Doris R Benavides^1*, Alan T Koa^2
1Department of Obstetrics and Gynecology, Victor R Potenciano Medical Center, Metro Manila, Philippines
²Department of Pathology, Victor R Potenciano Medical Center, Metro Manila, Philippines

Correspondence to: Doris R Benavides, Department of Obstetrics and Gynecology, R Potenciano Medical Center, Metro Manila, Philippines.
Received date: July 13, 2020; Accepted date: July 21, 2020; Published date: July 24, 2020
Citation: Benavides DR, Koa AT (2020) Primary Squamous Cell Carcinoma of the Endometrium : A Rare Case in the Philippines. J Obst Gynecol Surg. 1(2): pp. 1-4. doi: 10.52916/jogs204006
Copyright: ©2020 Benavides DR, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.

Abstract

Introduction: Primary Squamous Cell Carcinoma of the Endometrium (PSCCE) is an extremely rare case accounting for only 0.1% of all endometrial cancer cases. It usually occurs in post-menopausal women.

Case: We reported a case in the Philippines, a 64-year-old, multiparous, post-menopausal woman who presented with post-menopausal bleeding.

Procedure: Endometrial curettage showed squamous cell carcinoma. She then underwent Exploratory Laparotomy, Radical Hysterectomy with Bilateral Salpingo-oophorectomy, with Bilateral Pelvic Lymph Node Dissectionand Peritoneal Fluid Cytology.

Results: Histopathology of the uterus showed squamous cell carcinoma, keratinizing, with full thickness myometrial invasion. Postoperative diagnosis was primary squamous cell carcinoma, keratinizing, endometrium, stage IIIA. Patient was advised to undergo chemotherapy and radiotherapy.

Conclusion: The etiology of PSCCE is still unclear and usually presents with vaginal bleeding in post-menopausal women. To diagnose, histology should meet three criteria asdefined by Fluhmann. The prognosis is poor and related to stage at diagnosis.

Keywords:

Primary Squamous Cell Carcinoma of the Endometrium, Postmenopausal bleeding, Fluhmann criteria, Poor prognosis.