PRIMARY GASTRIC ADENOCARCINOMA REVEALED B Y UTERINE METASTASIS

We report a case of metastasis to the uterine corpus revealing a prima ry gastric adenocarcinoma. A 26-year-old woman suffered from weight la ss, vaginal bleeding, abdominal pain. An endometria( curettage showed apparently metastatic adenocarcinoma. The primary site of the tumour w as gastric. The upper gastrointestinal endoscopy revealed an ulcus and aspect of linitis plastica in the fundus. Biopsies showed diffuse typ e adenocarcinoma. Because of extensive disease, laparotomy was not per formed and exclusive palliative chemotherapy was started. The patient died IO months after the diagnosis. Metastasis from primary gastric ca ncer to the female genital tract are rare and are usually observed in young premenopausal women with diffuse type gastric adenocarcinoma. Th is case report underlines the interest, for those patients of careful gynaecologic examination at the initial staging and after treatment.