Vol 81, No 2 (2010)
ARTICLES
Multiple skin metastases to vulva from carcinoma of the cervical stump
Marek Grabiec, Małgorzata Walentowicz, Andrzej Marszałek
Vol 81, No 2 (2010)
ARTICLES
Abstract
Summary Metastases to the skin occur rarely in the cervical carcinoma, even in terminal stage of the disease. The frequency of metastasis is estimated from 0.01% to 2%. The presence of metastasis suggests generalized dissemination of the disease and reflects a rapidly progressive process that appear in the final stage of the disease. Case: We present a case of skin metastases in patients with squamous cell carcinoma of the cervical stump after the previous supracervical hysterectomy for benign disease of the uterus. The extensive skin changes on vulva and perineum occurred after radical trachelectomy and external radiation therapy. Patient received HDR brachytherapy for recurrent lesions, but the effect of treatment was poor and she died of progressive disease. Conclusion: As far as we know this is the first case report of squamous cell carcinoma in the cervical stump metastasizing to skin. Palliative brachytherapy has a limited role in controlling symptoms. Skin metastases indicate an aggressive and progressive process.
Abstract
Summary Metastases to the skin occur rarely in the cervical carcinoma, even in terminal stage of the disease. The frequency of metastasis is estimated from 0.01% to 2%. The presence of metastasis suggests generalized dissemination of the disease and reflects a rapidly progressive process that appear in the final stage of the disease. Case: We present a case of skin metastases in patients with squamous cell carcinoma of the cervical stump after the previous supracervical hysterectomy for benign disease of the uterus. The extensive skin changes on vulva and perineum occurred after radical trachelectomy and external radiation therapy. Patient received HDR brachytherapy for recurrent lesions, but the effect of treatment was poor and she died of progressive disease. Conclusion: As far as we know this is the first case report of squamous cell carcinoma in the cervical stump metastasizing to skin. Palliative brachytherapy has a limited role in controlling symptoms. Skin metastases indicate an aggressive and progressive process.
Keywords
Uterine cervical cancer, cervical stump, neoplasm metastases
Title
Multiple skin metastases to vulva from carcinoma of the cervical stump
Journal
Ginekologia Polska
Issue
Vol 81, No 2 (2010)
Page views
608
Article views/downloads
727
Bibliographic record
Ginekol Pol 2010;81(2).
Keywords
Uterine cervical cancer
cervical stump
neoplasm metastases
Authors
Marek Grabiec
Małgorzata Walentowicz
Andrzej Marszałek
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