Abdominal Parietal Metastasis from Cervical Cancer: A Review of One of the Most Uncommon Sites of Recurrence Including a Report of a New Case

Cervical cancer is the fourth most common cancer in women, the highest mortality being found in low- and middle-income countries. Abdominal parietal metastases in cervical cancer are a very rare entity, with an incidence of 0.1-1.3%, and represent an unfavorable prognostic factor with the survival r...

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Bibliographic Details
Published in:Life (Basel, Switzerland) Switzerland), 2024-06, Vol.14 (6), p.667
Main Authors: Dicu-Andreescu, Irinel-Gabriel, Marincaș, Marian-Augustin, Simionescu, Anca-Angela, Dicu-Andreescu, Ioana, Prunoiu, Virgiliu-Mihail, Ionescu, Sânziana-Octavia, Neicu, Ștefania-Ariana, Radu, Gabriela-Mădălina, Brătucu, Eugen, Simion, Laurențiu
Format: Article
Language:English
Subjects:
Abdomen
Abdominal cancer
Adenocarcinoma
Adenosquamous
Brachytherapy
Cancer
Cancer therapies
Care and treatment
Cervical cancer
Cervical carcinoma
Cervix
Chemotherapy
Complications and side effects
Diagnosis
Fallopian tubes
Fertility
Gynecology
HPV
Hysterectomy
Laparoscopy
Lymphatic system
Metastases
Metastasis
Mortality
Oncology, Experimental
parietal
Patient outcomes
Patients
Prognosis
Prostate cancer
Radiation therapy
Radiotherapy
Review
Romania
Skin
Squamous cell carcinoma
Surgery
Survival
Tumors
Uterus
Womens health
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Summary:Cervical cancer is the fourth most common cancer in women, the highest mortality being found in low- and middle-income countries. Abdominal parietal metastases in cervical cancer are a very rare entity, with an incidence of 0.1-1.3%, and represent an unfavorable prognostic factor with the survival rate falling to 17%. Here, we present a review of cases of abdominal parietal metastasis in recent decades, including a new case of a 4.5 cm abdominal parietal metastasis at the site of the scar of the former drain tube 28 months after diagnosis of stage IIB cervical cancer (adenosquamous carcinoma), treated by external radiotherapy with concurrent chemotherapy and intracavitary brachytherapy and subsequent surgery (type B radical hysterectomy). The tumor was resected within oncological limits with the histopathological result of adenosquamous carcinoma. The case study highlights the importance of early detection and appropriate treatment of metastases in patients with cervical cancer. The discussion explores the potential pathways for parietal metastasis and the impact of incomplete surgical procedures on the development of metastases. The conclusion emphasizes the poor prognosis associated with this type of metastasis in cervical cancer patients and the potential benefits of surgical resection associated with systemic therapy in improving survival rates.
ISSN:2075-1729
2075-1729
DOI:10.3390/life14060667