Unusual form of superficial spreading squamous cell carcinoma of cervix involving the endometrium, bilateral tubes and ovaries: a case report with literature review

Objective Although the majority of metastatic ovarian tumors arise within the female genital tract, squamous cell carcinoma of the cervix is a rare form of metastases to the bilateral ovaries by endometrial and transtubal spreading. Case A 53-year-old woman was referred to the oncology clinic with p...

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Bibliographic Details
Published in:Archives of gynecology and obstetrics 2011-02, Vol.283 (2), p.323-327
Main Authors: Gungor, Tayfun, Altinkaya, Sunduz Ozlem, Ozat, Mustafa, Akbay, Serap, Mollamahmutoglu, Leyla
Format: Article
Language:English
Subjects:
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - secondary
Case reports
Cervical cancer
Endocrinology
Endometrial Neoplasms - secondary
Fallopian Tube Neoplasms - secondary
Female
Gynecologic Oncology
Gynecology
Human Genetics
Human papillomavirus
Humans
Hysterectomy
Medicine
Medicine & Public Health
Metastasis
Middle Aged
Neoplasm Invasiveness
Obstetrics/Perinatology/Midwifery
Ovarian cancer
Ovarian Neoplasms - secondary
Squamous cell carcinoma
Uterine Cervical Neoplasms - pathology
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Summary:Objective Although the majority of metastatic ovarian tumors arise within the female genital tract, squamous cell carcinoma of the cervix is a rare form of metastases to the bilateral ovaries by endometrial and transtubal spreading. Case A 53-year-old woman was referred to the oncology clinic with postmenopausal bleeding. On vaginal examination, a 3 cm tumor arising from the cervix was inspected. Multiple cervical biopsies and endocervical curettage revealed large cell, non-keratinized squamous cell cervix carcinoma. Radical hysterectomy and bilateral salpingo-oophorectomy were performed. Bilateral pelvic and para-aortic lymph nodes were also removed. The final pathology report revealed endometrial, focal myometrial, bilateral tubal mucosal, fimbrial and bilateral ovarian squamous cell carcinoma involvement. Pelvic and para-aortic nodes were free from metastases. Conclusion Although the incidence of ovarian metastases of adenocarcinoma of the cervix is significantly higher, squamous cell carcinoma may also metastasize to the ovaries by endometrial and transtubal spreading in the absence of lymph node involvement. Especially in young patients for whom preservation of the ovaries is supposed, gross intraoperative inspection of the radical hysterectomy specimen and endometrium should be done and ovaries should be evaluated carefully.
ISSN:0932-0067
1432-0711
DOI:10.1007/s00404-010-1672-1