Small bowel metastasis of uterine cervical adenocarcinoma

• Published in: BMJ case reports Vol. 2013; p. 007896
• Main Authors: Sugimoto, Takuya, Mike, Makio, Abe, Masaru, Kano, Nobuyasu
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group LTD 26.08.2013; BMJ Publishing Group
• Series: Case Report
• Subjects: 80 Years; Adenocarcinoma - secondary; Aged, 80 and over; Asia; Cancer therapies; Cervical cancer; Female; Gangrene; Hospitals; Human papillomavirus; Humans; Ileal Neoplasms - secondary; Intestinal Perforation - etiology; Metastasis; Other Asian; Radiation therapy; Rare Disease; Uterine Cervical Neoplasms - pathology
• ISSN: 1757-790X; 1757-790X
• DOI: 10.1136/bcr-2012-007896

A few cases of small bowel metastasis from uterine cervical cancer have been previously reported. All reported cases were connected to squamous cell carcinoma, while none were associated with cervical adenocarcinoma. This report is of a rare case of cervical adenocarcinoma that haematogenously metastasised to the small intestine, and which caused a perforation and small bowel obstruction metachronously. An 84-year-old woman was admitted to our hospital with vaginal bleeding. She was diagnosed with FIGO stage III cervical adenocarcinoma by imaging and pathohistological examinations. Three months after receiving radiation therapy to control the bleeding, surgery was performed twice; the first operation for small bowel perforation and the second for small bowel obstruction. She was then diagnosed with haematogenous metastasis of cervical adenocarcinoma to the ileum according to the operative, histopathological and immunopathological findings.