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H. Fagundes, C. A. Perez, P. W. Grigsby, et al., “Distant Metastases after Irradiation alone in Carcinoma of the Uterine Cervix,” International Journal of Radiation Oncology & Biology & Physics, Vol. 24, No. 2, 1992, pp. 197-204. doi:10.1016/0360-3016(92)90671-4

has been cited by the following article:

• TITLE: Case Report: Uterine Adenocarcinoma Metastasis to the Skull Base and Cervical Spine Presenting with Pathological Fracture and Myelopathy

  AUTHORS: Paul E. Kaloostian, Han Chen, Martina Stippler

  KEYWORDS: Cancer; Metastasis; Pathological Fracture; Myelopathy; Skull Base

  JOURNAL NAME: Open Journal of Modern Neurosurgery, Vol.3 No.3, July 11, 2013

  ABSTRACT: Objective: The authors report a rare case of uterine adenocarcinoma metastasis to both the skull base and cervical spine presenting with pathological fracture and myelopathy. Methods: We report the case of a 43-year-old Asian female with widely metastatic uterine adenocarcinoma who over the course of 3 years was diagnosed with a large clival mass and more recently a cervical spine pathological fracture presenting with myelopathy. Results: This patient underwent multiple procedures over a three-year period, including total hysterectomy with tumor debulking, endonasal biopsy of clival mass and most recently cervical corpectomy and fusion. She has received chemotherapy and radiation therapy for treatment of the unresectable clival mass and has done quite well despite having this pathology. Conclusion: This is the first documented case of clival involvement of endometrial adenocarcinoma. Additionally, this is a unique case of spinal metastatic endometrial adenocarcinoma presenting with pathological fracture and myelopathy.