Oligo-Metastatic Carcinoma Cervix: A Few Do Extremely Well

Pallavi Nair and Francis V. James*

Oligo-Metastatic Carcinoma Cervix: A Few Do Extremely Well.
The consequence of metastatic carcinoma cervix is regarded to be poor. We present three patients with carcinoma cervix whom relapsed in the paraaortic nodes, lungs and vertebra. Generally recurrent and metastatic cancer cervix consequences are regarded to be poor. However, some patients with limited metastasis may progress slowly.

A 40-year-old premenopausal, multiparous lady, was evaluated for intermenstrual bleeding in 2001. Per vaginum examination revealed proliferative growth in the posterior lip of cervix with free fornices, clinically Stage-IB1 disease based on the International Federation of Gynecology and Obstetrics staging system.

Ultrasound abdomen revealed a mass lesion in the uterine cervix. She underwent radical hysterectomy with bilateral pelvic lymph node dissection. Histopathology was reported as squamous cell carcinoma of cervix infiltrating more than two-third of the thickness.
The frequency of intra thoracic metastasis from carcinoma cervix is approximately 10%11 while the frequency of bone metastasis from carcinoma cervix.

The most frequent site of metastasis was represented by the spine and the pelvis Metastatic spread to the bone may occur both by direct extension of the pelvic tumor to the bone, as from soft tissue metastasis outside the pelvis, and least commonly by hematogenous route There were no patient-related or disease-related factors which could account for the prolonged survival. There were no clinical or pathological differences between these cases and other high grade cases.

Cancer Stud Mol Med Open J. 2019; 5(1): 23-25. doi: 10.17140/CSMMOJ-5-128