Metastases to the endometrium from breast carcinoma.

Three patients with primary breast carcinoma and metastases to the endometrium presented with postmenopausal bleeding. All patients had locally advanced breast cancer at the time of diagnosis, and all developed other distant metastases concomitantly or shortly after the diagnosis of endometrial involvement. The treatment of breast carcinoma metastatic to the endometrium is palliative. Distinguishing metastatic carcinoma from primary endometrial carcinoma is of great practical clinical significance, since in the latter surgical intervention is indicated.