Adenocarcinoma of the cervix

Case contributed by Dr Bruno Di Muzio

Presentation

Abdominal distention.

Patient Data

Age: 53
Gender: Female

CT Abdomen and pelvis

Modality: CT

CT scan shows an abdominal distention due to accumulation of fluid in a encysted aspect, with permeating poorly defined enhancement. There is also a complex mass in cervix predominantly hypoattenuating.

First impression directly us to think in an ovary tumor, but it seems to be two encysted lesions in abdomen and there is also a mass in the cervix. So the most probably is that cervix tumor is the primary neoplasm with secondary involvement in abdomen. 

MRI was suggested to better approach to uterus and ovaries.  

MRI Pelvis

Modality: MRI

MRI shows better the complex tumor in the cervix which has solid enhanced component and a predominantly liquid content.

Case Discussion

The surgery and pathologic study confirmed the diagnosis of endocervical adenocarcinoma metastatic to ovaries.

Adenocarcinoma is the second most common type of cervical cancer and has it`s origin in glands located in the endocervix, with approximately 90% related to human papillomavirus (HPV).

Lymphatic spread and transtubal implantation are possible pathways of cervical cancer metastasizing to ovary, and involvement of the corpus may potentiate this mechanism.

Endocervical adenocarcinomas have the potential to metastasize to the ovaries by lymphatic and/or transtubal spread.

 

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Case Information

rID: 28373
Case created: 23rd Mar 2014
Last edited: 1st Sep 2015
System: Gynaecology
Inclusion in quiz mode: Included

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