<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2565-005X</journal-id>
<journal-title><![CDATA[Gaceta mexicana de oncología]]></journal-title>
<abbrev-journal-title><![CDATA[Gac. mex. oncol.]]></abbrev-journal-title>
<issn>2565-005X</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Oncología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2565-005X2019000500011</article-id>
<article-id pub-id-type="doi">10.24875/j.gamo.19000089</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Metástasis coroidea en cáncer de endometrio adenoescamoso avanzado]]></article-title>
<article-title xml:lang="en"><![CDATA[Choroidal metastasis in advanced adenosquamous endometrial cancer]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Durán-Cruz]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez]]></surname>
<given-names><![CDATA[Martha A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-López]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Oncológico Estatal ISSEMyM Departamento de Radioterapia ]]></institution>
<addr-line><![CDATA[Toluca Estado de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Oncológico Estatal ISSEMyM Departamento de Oftalmología ]]></institution>
<addr-line><![CDATA[Toluca Estado de México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Oncológico Estatal ISSEMyM Departamento de Radiooncología ]]></institution>
<addr-line><![CDATA[Toluca Estado de México]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>18</volume>
<fpage>56</fpage>
<lpage>59</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2565-005X2019000500011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2565-005X2019000500011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2565-005X2019000500011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El cáncer de endometrio es de las principales neoplasias ginecológicas, ocupa el noveno lugar en incidencia mundial. El subtipo histológico adenoescamoso es muy poco frecuente, aproximadamente el 5% de la totalidad de las neoplasias del endometrio. Las metástasis coroideas tienen una incidencia en general del 2 al 7%, son extremadamente raras en cáncer de endometrio; en la literatura se reportan asociadas a cáncer de mama, hígado, pulmón y neoplasias gastrointestinales. Solo hay reportes de caso de metástasis coroideas asociadas a cáncer de endometrio subtipo histológico seroso papilar y adenocarcinoma, asociado a inmunosupresión. Presentamos el caso de una paciente de 38 años de edad, referida al Centro Oncológico Estatal ISSEMyM (Toluca, Estado de México) a causa de hemorragia transvaginal anormal, dolor pélvico crónico y pérdida de peso. Se inició protocolo de estudio, que concluyó neoplasia de endometrio adenoescamoso, etapa IVB por FIGO, con datos de actividad tumoral pulmonar, destrucción lítica de sínfisis del pubis y actividad ósea, así como retroperitoneal. Se inició tratamiento con radioterapia paliativa a pelvis, posteriormente quimioterapia paliativa con cisplatino y adriamicina. Con progresión de la enfermedad a sistema nervioso central, se administró radioterapia a holocráneo, asociado a metástasis en coroides de ojo izquierdo manejada con radioterapia paliativa, sin posibilidad de evaluar respuesta al tratamiento de las metástasis coroidea a causa de fallecimiento de la paciente 11 días tras la finalización del tratamiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Endometrial cancer is one of the main gynecological neoplasm, occupying the ninth place in incidence worldwide. The adenosquamous histological subtype is very rare, approximately 5% of all endometrial neoplasms. Choroidal metastases have an overall incidence of 2 to 7%, are extremely rare in endometrial cancer; in the literature are reported associated with breast, liver and lung cancer, and gastrointestinal neoplasms. There are only case reports of choroidal metastases associated with endometrial cancer histologic-seroso-papillary subtype and adenocarcinoma, associated with immunosuppression. We present the case of 38 years-old woman, referred to the ISSEMyM State Cancer Center, Toluca, State of Mexico, due to abnormal transvaginal haemorrhage, chronic pelvic pain and weight loss. Study protocol was started, concluding adenosquamous endometrial neoplasm FIGO stage IVB, with lung tumor activity data, lytic destruction of the pubic symphysis, and bone and retroperitoneal activity. Treatment with palliative radiotherapy was initiated, followed by pivotal chemotherapy with cisplatin and adriamycin. Subsequently, progression of the disease to the central nervous system is documented, providing radiotherapy all the skull and then to left-sided choroid operated with palliative radiotherapy, with no possibility of evaluating response to treatment of choroidal metastases due to the death of the patient 11 days after the completion of management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cáncer de endometrio]]></kwd>
<kwd lng="es"><![CDATA[Adenoescamoso]]></kwd>
<kwd lng="es"><![CDATA[Metástasis coroideas]]></kwd>
<kwd lng="es"><![CDATA[Radioterapia paliativa]]></kwd>
<kwd lng="en"><![CDATA[Endometrial neoplasm]]></kwd>
<kwd lng="en"><![CDATA[Adenosquamous]]></kwd>
<kwd lng="en"><![CDATA[Choroidal metastasis]]></kwd>
<kwd lng="en"><![CDATA[Palliative radiotherapy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="">
<collab>Globocan 2012 [Internet]</collab>
<source><![CDATA[Agencia Internacional para la Investigación sobre el Cáncer [fecha de actualización:2014]]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Siegel]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[KD]]></given-names>
</name>
<name>
<surname><![CDATA[Jemal]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cancer statistics, 2016]]></article-title>
<source><![CDATA[CA Cancer J Clin]]></source>
<year>2017</year>
<volume>67</volume>
<page-range>7-30</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Amant]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Mansoor]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Carien]]></surname>
<given-names><![CDATA[LC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[FIGO cancer report 2012. Cancer of the corpus uteri]]></article-title>
<source><![CDATA[Int J Gynecol Obstet]]></source>
<year>2012</year>
<volume>119</volume>
<page-range>S110-7</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Haqqani]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Fox]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Adenosquamous carcinoma of the endometrium]]></article-title>
<source><![CDATA[J Clin Path]]></source>
<year>1976</year>
<volume>29</volume>
<page-range>959-66</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tavassoli]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[Devilee]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[World Health Organization Classification of Tumours]]></article-title>
<source><![CDATA[Pathology and genetics of tumours of the breast and female genital organs]]></source>
<year>2003</year>
<publisher-loc><![CDATA[Lyon ]]></publisher-loc>
<publisher-name><![CDATA[IARC Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bloch]]></surname>
<given-names><![CDATA[RS]]></given-names>
</name>
<name>
<surname><![CDATA[Gartner]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The incidence of ocular metastatic carcinoma]]></article-title>
<source><![CDATA[Arch Ophthalmol]]></source>
<year>1971</year>
<volume>85</volume>
<page-range>673-5</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eliassi-Rad]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Albert]]></surname>
<given-names><![CDATA[DM]]></given-names>
</name>
<name>
<surname><![CDATA[Green]]></surname>
<given-names><![CDATA[WR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Frequency of ocular metastases in patients dying of cancer in eye bank populations]]></article-title>
<source><![CDATA[Br J Ophthalmol]]></source>
<year>1996</year>
<volume>80</volume>
<page-range>125-8</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saxena]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Jain]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ramindar]]></surname>
<given-names><![CDATA[Sharma S]]></given-names>
</name>
<name>
<surname><![CDATA[Meyer]]></surname>
<given-names><![CDATA[CH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Three-dimensional spectral domain optical coherence tomography of retina in choroidal metastasis due to uterine endometrial carcinoma]]></article-title>
<source><![CDATA[BMJ Case Rep]]></source>
<year>2012</year>
<volume>2012</volume>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Coleman]]></surname>
<given-names><![CDATA[DJ]]></given-names>
</name>
<name>
<surname><![CDATA[Abramson]]></surname>
<given-names><![CDATA[DH]]></given-names>
</name>
<name>
<surname><![CDATA[Jack]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
<name>
<surname><![CDATA[Franzen]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ultrasonic diagnosis of tumors of the choroid]]></article-title>
<source><![CDATA[Arch Ophthalmol]]></source>
<year>1974</year>
<volume>91</volume>
<page-range>344-54</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Plent]]></surname>
<given-names><![CDATA[HA]]></given-names>
</name>
<name>
<surname><![CDATA[Friedman]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
</person-group>
<source><![CDATA[Lymphatic system of the female genital system]]></source>
<year>1971</year>
<page-range>116-52</page-range><publisher-loc><![CDATA[Philadelphia, PA ]]></publisher-loc>
<publisher-name><![CDATA[Saunders]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cormio]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Lissoni]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Losa]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Zanetta]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Pellegrino]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Mangioni]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Brain metastases from endometrial carcinoma]]></article-title>
<source><![CDATA[Gynecol Oncol]]></source>
<year>1996</year>
<volume>61</volume>
<page-range>40-3</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dobrowsky]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of choroid metastases]]></article-title>
<source><![CDATA[Br J Radiol]]></source>
<year>1988</year>
<volume>61</volume>
<page-range>140-2</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nylen]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Kock]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Lax]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Lundell]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Af]]></surname>
<given-names><![CDATA[Trampe E]]></given-names>
</name>
<name>
<surname><![CDATA[Wilking]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Standardized precision radiotherapy in choroidal metastases]]></article-title>
<source><![CDATA[Acta Oncol]]></source>
<year>1994</year>
<volume>33</volume>
<page-range>65-8</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[D'Abbadie]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Arriagada]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Spielmann]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Le]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Choroid metastases:Clinical features and treatments in 123 patients]]></article-title>
<source><![CDATA[Cancer]]></source>
<year>2003</year>
<volume>98</volume>
<page-range>1232-8</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rosset]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Zografos]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Couke]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Monney]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Mirimanoff]]></surname>
<given-names><![CDATA[RO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Radiotherapy of choroidal metastases]]></article-title>
<source><![CDATA[Radiother Oncol]]></source>
<year>1998</year>
<volume>46</volume>
<page-range>263-8</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wiegel]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Bottke]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Kreusel]]></surname>
<given-names><![CDATA[KM]]></given-names>
</name>
<name>
<surname><![CDATA[Schmidt]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Bornfeld]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Foerster]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[External beam radiotherapy of choroidal metastases &#8211;final results of a prospective study of the German cancer society (ARO 95-08)]]></article-title>
<source><![CDATA[Radiother Oncol]]></source>
<year>2002</year>
<volume>64</volume>
<page-range>13-8</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Roy]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Madan]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Gogia]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Tripathy]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Sharma]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Julka]]></surname>
<given-names><![CDATA[PK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Short course palliative radiotherapy in the management of choroidal metastasis:An effective technique since ages]]></article-title>
<source><![CDATA[J Egypt Natl Cancer Inst]]></source>
<year>2016</year>
<volume>28</volume>
<page-range>49-53</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
