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Cervical adenocarcinoma with bilateral adnexal metastases

Małgorzata Wężowska1, Krzysztof Kaczmarek1, Aleksandra Kudrymska2, Andrzej Abucewicz3, Janusz Menkiszak1

Affiliacja i adres do korespondencji
CURR. GYNECOL. ONCOL. 2011, 9 (3), p. 199-205
Streszczenie

Cervical cancer is the second, after breast cancer, most frequent malignancy in the females worldwide. Annually, about 500 000 new cases are diagnosed and about 275 000 women die thereof. Most cases of cervical cancer are epithelial in origin, while only 15-35% are adenomatous. Recent epidemiological data indicate a gradually increasing incidence of adenocarcinoma with concomitant reduction planoepithelial cancer. The paper presents a case of a 50-year-old patient diagnosed with a cervical adenocarcinoma with bilateral adnexal metastases and concomitant ascites. Clinical signs and intraoperative findings initially suggested an ovarian cancer at FIGO stage IIIC. Based on histological studies, the final diagnosis of adenocarcinoma with adnexal metastases was made. Tumor metastases from the genitals usually originate from ovarian or endometrial cancer. Metastases from the cervical cancer are much less frequent. There are few publications dealing with this issue in the world literature. Furthermore, available papers provide widely divergent data concerning the incidence of metastases to the ovaries and oviducts. Some authors highlight the necessity to exclude the reverse situation – metastases of ovarian cancer to the uterine cervix. Such data only confirm complexity of this issue. Therefore we decided to present the following case report.

Słowa kluczowe
cervical adenocarcinoma, adnexal metastases, complications, ascites, ovarian cancer, tumors