Article Data

  • Views 234
  • Dowloads 117

Reviews

Open Access

"Occult" neuroendocrine component and rare metastatic pattern in cervical cancer: Report of a case and brief review of the literature

  • K. Rhiem1,*,
  • M. Possover2
  • A. Gossmann3
  • K. Drebber4
  • P. Mallmann1
  • U. Ulrich5

1Department of Obstelrics and Gynecology, University of Cologne School of Medicine, Cologne, Germany

2Depanment of Obstetrics and Gynecology, S1. Elisabeth Hospital, Cologne, Germany

3Departmenl of Radiology, University of Cologne School of Medicine, Cologne, Germany

4Department of Pa1hology, Universi八, of Cologne School of Medicine, Cologne, Germany

5Department of Obstetrics and Gynecology, Florence Nightingale Hospital, Diisseldorf, Germany

DOI: 10.12892/ejgo200702139 Vol.28,Issue 2,March 2007 pp.139-141

Published: 10 March 2007

*Corresponding Author(s): K. Rhiem E-mail:

Abstract

Distant metastases in small cell carcinomas of the uterine cervix are rare, and a disseminated manifestation of the disease is uncommon. This is a case report of a 40-year-old woman treated with platin-based radio-chemotherapy for a moderately differentiated squamous cell cervical cancer FIGO Stage IB 1 (with positive paraaortic lymph nodes). One year later she presented with remarkably unusual cutaneous metastases of the left thumb and scalp as the first signs of spread of disease, including kidney, lung and brain metastases. An advanced retrospective immunohistochemical staining of the cervical biopsy discovered a small neuroendocrine component of the carcinoma as the presumably causative factor for the rare metastastic pattern and poor prognosis.

Keywords

Cervical Cancer, squamous cell carcinoma, neuroendocrine carcinoma, thumb metastasis, renal metastases, staging lymphadenectomy

Cite and Share

K. Rhiem,M. Possover,A. Gossmann,K. Drebber,P. Mallmann,U. Ulrich. "Occult" neuroendocrine component and rare metastatic pattern in cervical cancer: Report of a case and brief review of the literature. European Journal of Gynaecological Oncology. 2007. 28(2);139-141.

References

[1] Imachi M., Tsukamoto N., Matsuyama T., Nakano H.: "Pulmonary metatasis from carcinoma of the uterine cervix". Gynecol. Oneal., 1989, 33, 189.

[2] Carlson V., Delclos L., Fletche G.H.:''Distant metastases 10 squamous-cell carcinoma of the uterine cervix". Radiology, 1967, 88, 961.

[3] Peeples W.J., lnalsingh C.H.A., Hazra T.A., Graft D.:'The occurrence of metastasis outside the abdomen and tretroperitoneal space in invasive carcinoma of the cervix". Gynecol. Oncol., 1976, 4, 307.

[4] Irnachi M., Tsukamoto N.. Kinoshita S., Nakano H.: "Skin metastasis from carciorna of the uterine cervix". Gyneco/. Oneal., 1993. 48, 349.

[5] Eifel P.J.. Morris M., W harton J.T., Oswald M.J.: "The influence of tumor size and morphology on the outcome of patients with FIGO stage 1B squamous cell carcinoma of the uterine cervix". Int. J. Radiat. Oneal. Biol. Phys., 1994, 29, 9.

[6] Levenback C., Morris M.: "Cervical Cancer". In: Barakat R.R .. Bevers M.W., Gershenson D.M., Hoskins W.J. (eds.): Handbook of Gynecologic Oncology, London. Martin Dunitz Publishers Ltd., 2000, 225.

[7] Landoni F., Bocciolone L., Perego P., Maneo A., Bratina G., Mangioni C.: "Cancer of the cervix, FIGO Stages 1B and lIA: patterns of local growth and paracervical extension". Int. J. Gynecol Cancer. 1995. 5, 329.

[8] Agarwal U., Dahiya P., Chauhan A., Sangwan K., Purwar P "Scalp metastasis in carcinoma of the uterine cervix - a rare entity". Gynecol. Oncol., 2002, 87, 310.

[9] Scharl A.: "Explosive growth of a cervical cancer with unusual metastases".Geburtshilfe Frauenheilkd, 1998, 48, 462.

[10] Conner M.G., Richter H., Moran C.A., Hameed A., Albores, Saavedra J.: "Small cell carcinoma of the cervix: a clinicopathologic and immunhistochemical study of 23 cases". Ann. Diagn Pathol., 2002, 6, 345.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Submission Turnaround Time

Conferences

Top