Acetabular Metastasis as Initial Presentation of Endometrial Cancer

27 ndometrial cancer (EC) is the most common gynecological cancer, especially in the Western countries. Vaginal bleeding is the major symptom in 90% of the patients. About 75% of the cases are confined to the uterus (FIGO stage I).1-3 Bone metastases are encountered in 5-6% of the cases and generally with abdominopelvic recurrences and/or other distant metastases. However, bone metastases as initial symptom for the EC are an extremely rare condition.2 Although hematologic dissemination is the probable pathway for bone metastasis, the mechanism of initial presentation as bone metastasis in the EC is not clearly understood.1 Here we report a case of acetabular metastasis as primary presentation of the EC after an informed consent was obtained from the patient.