Breast cancer can metastasise to a vast array of organs, but in rare cases, cancer can form secondary lesions in the uterus and cervix. In our case report we have a 56-years-old female with gynecologic bleeding, bloating, and difficulty in breathing, fatigue, weakness and polyuria. After performing of dilatation and curettage, the result was endometrial and cervical metastases which show histopathological and immunohistochemical findings suggesting invasive lobular carcinoma of the breast that leads to primary breast cancer. Her status estimated the treatment. This case demonstrates the importance of adequate clinical behaviour and treatment of each of the gynaecological symptoms for establishing a cause of extragynecological origin, clarifying the patient's overall status. It is essential to have proper and timely clinical behaviour for menopausal patients in gynaecological diseases, as the primary cause may be of extragenital origin.KEYWORDS invasive lobular breast cancer, endometrial metastases, cervical metastases, extragynecological origin HOW TO CITE THIS ARTICLEChupryna E, Ganovska A, Kirilova I, Kovachev S, Baytchev G. Endometrial and cervical metastases leading to the diagnosis of a primary breast cancer: A case report. Int J Surg Med. 2017; 3(4): 253-256. doi:10.5455/ijsm.endometrial-and-cervical-metastasesprimary-breast-cancer

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Introduction and objective: The aim of this study was to determine the incidence of pelvic lymph metastases in cervical cancer, depending on the biology of the tumor and the new changes in the staging. Material and methods: A retrospective database analysis involving 85 patients with cervical carcinoma for a 5-year period was performed. Various factors were analyzed for the purpose of the study. Results: In 20% of our patients lymph metastases were found with more frequent locus in the right lymph chains. The average number of metastases was equal to or greater than 2. Moderately differentiated cervical carcinomas metastasized most commonly. The most frequent were metastases in squamous cell carcinoma and in Stage 2B under the TNM classification. After changes in FIGO’s classification the presence of positive lymph nodes defined the disease as III stage. Conclusion: Our study confirms that cervical carcinoma metastasizes in the pelvic lymph nodes before it reaches the para-aortic lymph nodes.

Sections I -III have valid values, which means that there is a satisfactory consistency interval in each question. Conclusions:The validity and reliability tests of UNS-CASKQ14 have valid and reliable results so that it can be used as an instrument for research on other cancer survivors.