Metastatic gastric cancer mimicking an advanced cervical cancer: a case report

Metastasis to the uterine cervix from non-gynecologic neoplasms is rare. However, metastatic tumors sometimes precede the diagnosis of a primary tumor, and may lead to diagnosis of the primary tumor. A 50-year-old woman was referred to us complaining of increasing right flank pain. Computed tomograp...

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Bibliographic Details
Published in:European journal of gynaecological oncology 2011, Vol.32 (2), p.199-200
Main Authors: Matsushita, H, Fukase, M, Takayanagi, T, Ikarashi, H
Format: Article
Language:English
Subjects:
Adenocarcinoma - secondary
Adenocarcinoma - surgery
Diagnosis, Differential
Fatal Outcome
Female
Gastroscopy
Humans
Middle Aged
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Uterine Cervical Neoplasms - secondary
Uterine Cervical Neoplasms - surgery
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Summary:Metastasis to the uterine cervix from non-gynecologic neoplasms is rare. However, metastatic tumors sometimes precede the diagnosis of a primary tumor, and may lead to diagnosis of the primary tumor. A 50-year-old woman was referred to us complaining of increasing right flank pain. Computed tomography scan demonstrated an enlarged uterus with right-sided hydronephrosis and hydroureter. Cervical cytology revealed adenocarcinoma. She was considered to have a Stage IIIB cervical adenocarcinoma. Although no cervical lesion was seen colposcopically, histopathology from biopsies of the uterine cervix revealed poorly differentiated adenocarcinoma infiltrating around the normal endocervical glands. A metastasis from the gastrointestinal tract was suspected. The patient underwent gastroscopy and was found to have Borrmann type IV gastric cancer. Biopsies confirmed a poorly differentiated adenocarcinoma with signet ring cells. Physicians should bear in mind that metastatic tumors may precede the diagnosis of a primary tumor and could manifest by mimicking advanced cervical cancer.
ISSN:0392-2936