IMR Press / EJGO / Volume 25 / Issue 6 / pii/2004278

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Case Report

Solitary splenic metastasis of squamous cell carcinoma of the uterine cervix: A case report and review of the literature

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1 Department of Obstetrics & Gynecology, Gülhane Military Medical Academy, Etlik/Ankara (Turkey)
2 Department of Pathology, Gülhane Military Medical Academy, Etlik/Ankara (Turkey)
Eur. J. Gynaecol. Oncol. 2004, 25(6), 742–744;
Published: 10 December 2004
Abstract

A 45-year-old patient presented with complaints of vaginal bleeding and pelvic pain. Fractioned probe curettage was performed and reported as Stage Ila, grade 3, squamous cell carcinoma of the uterine cervix. The patient underwent radical hysterectomy type III, bilateral salpingo-oophorectomy, omentectomy, appendectomy, and pelvic para-aortic lymph node dissection according to our clinical protocol. Adjuvant radiation therapy was planned. A splenic mass of 8 cm in diameter was revealed on computed tomography at the end of the third year of the disease-free follow-up period. Fine needle aspiration biopsy was performed and reported as metastatic car­cinoma correlated to the previous cervical cancer. Debulking surgery was performed. The patient died one year after the second surgi­cal operation. Spleen metastasis in patients with squamous cell carcinoma of the uterine cervix is exceedingly rare. Nonetheless we recommend screening of all intra-abdominal organs including the spleen as a rare metastastic site in follow-up examination protocols.

Keywords
Squamous cell carcinoma
Cervix
Splenic metastasis
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