open access

Vol 20, No 3 (2015)
Published online: 2015-05-01
Submitted: 2014-10-02
Get Citation

Isolated jejunal metastasis in a patient with cervical cancer: A case report

Cem Onal, Gul Nihal Nursal, Nurkan Torer, Fazilet Kayaselcuk
DOI: 10.1016/j.rpor.2014.12.005
·
Rep Pract Oncol Radiother 2015;20(3):239-242.

open access

Vol 20, No 3 (2015)
Published online: 2015-05-01
Submitted: 2014-10-02

Abstract

Background

In approximately 8% of cervical carcinoma patients, gastrointestinal tract is involved, most commonly the rectosigmoid portion, because of local extension. Isolated metastases to small bowel are exceedingly rare.

Case report

We present a case of a 63-year-old woman with cervical cancer who developed isolated jejunal metastasis 8 months after postoperative chemoradiotherapy. The patient was alive with no evidence of disease 6 months after resection of metastasis. Very few cases have been reported concerning squamous cell carcinoma of the cervix with documented metastases to the small bowel. There is only one published case report of cervical cancer with multiple metastases to the small intestine and jejunum. To our knowledge, this is the first case of cervical cancer with isolated jejunal metastasis, which was initially demonstrated with positron emission tomography and confirmed histopathologically.

Conclusion

Although the exact mechanism underlying the isolated metastasis is unknown, hematogenous spread or tumor seeding during surgery may play a role.

Abstract

Background

In approximately 8% of cervical carcinoma patients, gastrointestinal tract is involved, most commonly the rectosigmoid portion, because of local extension. Isolated metastases to small bowel are exceedingly rare.

Case report

We present a case of a 63-year-old woman with cervical cancer who developed isolated jejunal metastasis 8 months after postoperative chemoradiotherapy. The patient was alive with no evidence of disease 6 months after resection of metastasis. Very few cases have been reported concerning squamous cell carcinoma of the cervix with documented metastases to the small bowel. There is only one published case report of cervical cancer with multiple metastases to the small intestine and jejunum. To our knowledge, this is the first case of cervical cancer with isolated jejunal metastasis, which was initially demonstrated with positron emission tomography and confirmed histopathologically.

Conclusion

Although the exact mechanism underlying the isolated metastasis is unknown, hematogenous spread or tumor seeding during surgery may play a role.

Get Citation

Keywords

Gynecological cancer; Cervical cancer; Metastasis; Small intestine

About this article
Title

Isolated jejunal metastasis in a patient with cervical cancer: A case report

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 20, No 3 (2015)

Pages

239-242

Published online

2015-05-01

DOI

10.1016/j.rpor.2014.12.005

Bibliographic record

Rep Pract Oncol Radiother 2015;20(3):239-242.

Keywords

Gynecological cancer
Cervical cancer
Metastasis
Small intestine

Authors

Cem Onal
Gul Nihal Nursal
Nurkan Torer
Fazilet Kayaselcuk

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