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Submitted: 14 December 2017 Modified: 08 January 2018
HERDIN Record #: PCHRD17121414322436

Isolated metastasis to the uterine cervix from primary breast carcinoma: A case report.

Joan Marice C. Toh,
Leo Francis N. Aquilizan

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Metastasis of malignancy to the uterine cervix is a rare event in itself. Breast cancer is a commonly diagnosed malignancy in women that has been extensively studied, and it has been known that common areas of metastasis are the lungs, skin, liver and brain. Since the 1980's, there have been a handful of reported cases of metastasis to the uterine cervix. We present the case of a 64-year-old Gravida 4 Para 1 (1031) who developed postmenopausal bleeding 9 years after treatment of the primary breast cancer, which after work-ups, turns out to be an isolated metastatic lesion to the cervix. In cases such as this one, surgery is reasonable treatment option that is sufficient in itself without the need for chemotherapy or radiation. Our patient was offered a different treatment option, which is chemotherapy, instead of proceeding straight to the treatment option presented by most case reports, which is surgery. This paper aims to highlight a possible route of metastasis, to emphasize the need for regular gynecological examination in patients with breast cancer, as well as the importance of aggressive treatment in the form  of surgery in cases of isolated cervical metastasis.

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Journal of Obstetrics and Gynecology
Frequency
Bimonthly
Publication Date
September-October 2017
Volume
41
Issue
5
Page(s)
34-42
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Fulltext Print Format (Request Document)