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Published in: Journal of Medical Case Reports 1/2016

Open Access 01-12-2016 | Case report

Skin metastases of cervical cancer: two case reports and review of the literature

Authors: Meryem Benoulaid, Hanan Elkacemi, Imane Bourhafour, Jihane Khalil, Sanaa Elmajjaoui, Basma Khannoussi, Tayeb Kebdani, Noureddine Benjaafar

Published in: Journal of Medical Case Reports | Issue 1/2016

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Abstract

Background

Although cervix carcinoma is one of the most common malignancies in women, hematogenous metastases are relatively not common. Cutaneous metastases, in particular, are unusual even at an advanced stage of disease. Their presence is a predictor of poor prognosis.

Case presentation

Case 1: A 63-year-old postmenopausal Moroccan woman was diagnosed as having cervical squamous cell carcinoma. She was treated with radical concurrent chemotherapy and radiation therapy followed by low-dose brachytherapy. Six months after finishing the therapy, multiple skin nodules appeared on her abdomen and chest wall. An excision biopsy was performed and showed metastatic squamous cell carcinoma. Her disease progressed and she died before completing her fourth course of palliative chemotherapy.
Case 2: A 48-year-old Moroccan woman was diagnosed as having cervical squamous cell carcinoma; she was treated with concurrent chemoradiation. Before a planned high-dose brachytherapy, she noticed many nodular lesions on her arms, thighs, and chest wall. An excision biopsy was performed and showed metastatic squamous cell carcinoma. She then underwent a series of imaging examinations, including computed tomography of her chest, abdomen, and pelvis, and a whole body bone scan that showed disseminated disease involving her lungs and bones. She died after two courses of palliative chemotherapy, 2 months after the appearance of the skin lesions.

Conclusion

We report two cases to illustrate a rare localization of metastasis from cervical carcinoma that is highly aggressive requiring early detection and aggressive management.
Literature
3.
go back to reference Brady LW, O’Neill EA, Farber SH. Unusual sites of metastases. Semin Oncol. 1977;4:59–64.PubMed Brady LW, O’Neill EA, Farber SH. Unusual sites of metastases. Semin Oncol. 1977;4:59–64.PubMed
5.
go back to reference Tazi M, Benjaafar N, Er-Raki A. Incidence des Cancers a Rabat-Annee 2005. Registre des Cancers de Rabat 2009. Tazi M, Benjaafar N, Er-Raki A. Incidence des Cancers a Rabat-Annee 2005. Registre des Cancers de Rabat 2009.
6.
go back to reference Carlson V, Delclos L, Fletcher GH. Distant metastases in squamous-cell carcinoma of the uterine cervix. Radiology. 1967;88:961–6.CrossRefPubMed Carlson V, Delclos L, Fletcher GH. Distant metastases in squamous-cell carcinoma of the uterine cervix. Radiology. 1967;88:961–6.CrossRefPubMed
7.
go back to reference Imachi M, Tsukamoto N, Kinoshita S, Nakano H. Skin metastasis from carcinoma of the uterine cervix. Gynecol Oncol. 1993;48:349–54.CrossRefPubMed Imachi M, Tsukamoto N, Kinoshita S, Nakano H. Skin metastasis from carcinoma of the uterine cervix. Gynecol Oncol. 1993;48:349–54.CrossRefPubMed
8.
go back to reference Malfetano JH. Skin metastasis from cervical carcinoma: A fatal event. Gynecol Oncol. 1986;24:177–82.CrossRefPubMed Malfetano JH. Skin metastasis from cervical carcinoma: A fatal event. Gynecol Oncol. 1986;24:177–82.CrossRefPubMed
9.
go back to reference Freeman CR, Rozenfeld M, Schopflacher P. Cutaneous metastases from carcinoma of the cervix. Arch Dermatol. 1982;118:40–1.CrossRefPubMed Freeman CR, Rozenfeld M, Schopflacher P. Cutaneous metastases from carcinoma of the cervix. Arch Dermatol. 1982;118:40–1.CrossRefPubMed
10.
go back to reference Tharakaram S, Rajendran SS, Premalatha S, Yesudian P, Zahara A. Cutaneous metastasis from carcinoma cervix. Int J Dermatol. 1985;24:598–9.CrossRefPubMed Tharakaram S, Rajendran SS, Premalatha S, Yesudian P, Zahara A. Cutaneous metastasis from carcinoma cervix. Int J Dermatol. 1985;24:598–9.CrossRefPubMed
11.
go back to reference Hayes AG, Berry AD. Cutaneous metastasis from squamous cell carcinoma of the cervix. J Am Acad Dermatol. 1992;26:846–50.CrossRefPubMed Hayes AG, Berry AD. Cutaneous metastasis from squamous cell carcinoma of the cervix. J Am Acad Dermatol. 1992;26:846–50.CrossRefPubMed
12.
go back to reference Franciolini G, Momoli G, Minelli L, Mutolo F, Franchini MA, Chiodini S, et al. Cutaneous metastases from carcinoma of the cervix. Tumori. 1990;76:410–2.PubMed Franciolini G, Momoli G, Minelli L, Mutolo F, Franchini MA, Chiodini S, et al. Cutaneous metastases from carcinoma of the cervix. Tumori. 1990;76:410–2.PubMed
13.
go back to reference Shimizu I, Hayashi S, Uehara M, Nakayama S. Cutaneous metastases to the scalp from carcinoma of the uterine cervix. Arch Dermatol. 1983;119:275–6.CrossRefPubMed Shimizu I, Hayashi S, Uehara M, Nakayama S. Cutaneous metastases to the scalp from carcinoma of the uterine cervix. Arch Dermatol. 1983;119:275–6.CrossRefPubMed
14.
go back to reference Park JY, Lee HS, Cho KH. Cutaneous metastasis to the scalp from squamous cell carcinoma of the cervix. Clin Exp Dermatol. 2003;28:28–30.CrossRefPubMed Park JY, Lee HS, Cho KH. Cutaneous metastasis to the scalp from squamous cell carcinoma of the cervix. Clin Exp Dermatol. 2003;28:28–30.CrossRefPubMed
15.
go back to reference Chen CH, Chao KC, Wang PH. Advanced cervical squamous cell carcinoma with skin metastasis. Taiwan J Obstet Gynecol. 2007;46:264–6.CrossRefPubMed Chen CH, Chao KC, Wang PH. Advanced cervical squamous cell carcinoma with skin metastasis. Taiwan J Obstet Gynecol. 2007;46:264–6.CrossRefPubMed
16.
go back to reference Behtash N, Mehrdad N, Shamshirsaz A, Hashemi R, Amouzegar HF. Umbilical metastasis in cervical cancer. Arch Gynecol Obstet. 2008;278:489–91.CrossRefPubMed Behtash N, Mehrdad N, Shamshirsaz A, Hashemi R, Amouzegar HF. Umbilical metastasis in cervical cancer. Arch Gynecol Obstet. 2008;278:489–91.CrossRefPubMed
17.
go back to reference Hsin-I Yang MD. Cellulitis-like cutaneous metastasis of uterine cervical carcinoma. J Am Acad Dermatol. 2007;56:S26–8.CrossRefPubMed Hsin-I Yang MD. Cellulitis-like cutaneous metastasis of uterine cervical carcinoma. J Am Acad Dermatol. 2007;56:S26–8.CrossRefPubMed
18.
go back to reference Srivastava K, Singh S, Srivastava M, Srivastava AN. Incisional skin metastasis of a squamous cell cervical carcinoma 3.5 years after radical treatment. Int J Gynecol Cancer. 2005;15(6):1183–6.CrossRefPubMed Srivastava K, Singh S, Srivastava M, Srivastava AN. Incisional skin metastasis of a squamous cell cervical carcinoma 3.5 years after radical treatment. Int J Gynecol Cancer. 2005;15(6):1183–6.CrossRefPubMed
19.
go back to reference Diehl LF, Hurwitz MA, Johnson SA, Butler WM, Taylor HG. Skin metastases confined to a field of previous irradiation; report of two cases and review of the literature. Cancer. 1984;53:1864–8.CrossRefPubMed Diehl LF, Hurwitz MA, Johnson SA, Butler WM, Taylor HG. Skin metastases confined to a field of previous irradiation; report of two cases and review of the literature. Cancer. 1984;53:1864–8.CrossRefPubMed
20.
go back to reference Campana LG, Clover AJP, Valpione S, et al. Recommendations for improving the quality of reporting clinical electrochemotherapy studies based on qualitative systematic review. Radiol Oncol. 2016;50(1):1–13.PubMedPubMedCentral Campana LG, Clover AJP, Valpione S, et al. Recommendations for improving the quality of reporting clinical electrochemotherapy studies based on qualitative systematic review. Radiol Oncol. 2016;50(1):1–13.PubMedPubMedCentral
21.
22.
go back to reference Cabula C, Campana LG, Grilz G, et al. Electrochemotherapy in the Treatment of Cutaneous Metastases from Breast Cancer: A Multicenter Cohort Analysis. Ann Surg Oncol. 2015;22 Suppl 3:S442–50.CrossRefPubMed Cabula C, Campana LG, Grilz G, et al. Electrochemotherapy in the Treatment of Cutaneous Metastases from Breast Cancer: A Multicenter Cohort Analysis. Ann Surg Oncol. 2015;22 Suppl 3:S442–50.CrossRefPubMed
23.
go back to reference Marty M, Sersa G, Garbay JR, Gehl J, Collins CG, Snoj M, et al. Electrochemotherapy – An easy, highly effective and safe treatment of cutaneous and subcutaneous metastases: Results of ESOPE (European Standard Operating Procedures of Electrochemotherapy) study. Eur J Cancer – Suppl. 2006;4:3–13.CrossRef Marty M, Sersa G, Garbay JR, Gehl J, Collins CG, Snoj M, et al. Electrochemotherapy – An easy, highly effective and safe treatment of cutaneous and subcutaneous metastases: Results of ESOPE (European Standard Operating Procedures of Electrochemotherapy) study. Eur J Cancer – Suppl. 2006;4:3–13.CrossRef
24.
go back to reference Daw E, Riley S. Umbilical metastasis from squamous carcinoma of the cervix. Case report. Br J Obstet Gynecol. 1982;89:1666.CrossRef Daw E, Riley S. Umbilical metastasis from squamous carcinoma of the cervix. Case report. Br J Obstet Gynecol. 1982;89:1666.CrossRef
25.
go back to reference Copas RR, Spann CO, Thoms WW, Horwitz IR. Squamous cell carcinoma of the cervix metastatic to a drain. Gynecol Oncol. 1995;56(1):102–4.CrossRefPubMed Copas RR, Spann CO, Thoms WW, Horwitz IR. Squamous cell carcinoma of the cervix metastatic to a drain. Gynecol Oncol. 1995;56(1):102–4.CrossRefPubMed
26.
go back to reference Pertzborn S. Hematogenous skin metastases from cervical cancer at primary presentation. Gynecol Oncol. 2000;76:416–7.CrossRefPubMed Pertzborn S. Hematogenous skin metastases from cervical cancer at primary presentation. Gynecol Oncol. 2000;76:416–7.CrossRefPubMed
Metadata
Title
Skin metastases of cervical cancer: two case reports and review of the literature
Authors
Meryem Benoulaid
Hanan Elkacemi
Imane Bourhafour
Jihane Khalil
Sanaa Elmajjaoui
Basma Khannoussi
Tayeb Kebdani
Noureddine Benjaafar
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2016
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-016-1042-0

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