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"Occult" neuroendocrine component and rare metastatic pattern in cervical cancer: Report of a case and brief review of the literature
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
*Corresponding Author(s): K. Rhiem E-mail:
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.
Cervical Cancer, squamous cell carcinoma, neuroendocrine carcinoma, thumb metastasis, renal metastases, staging lymphadenectomy
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.
[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.
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