AI Article Synopsis
- Carcinoma that spreads to the uterine cervix is uncommon, mainly originating from the stomach and colon.
- A 17-year-old girl was diagnosed with cervical adenocarcinoma during a routine exam, which later revealed a significant sigmoid tumor and widespread cancer in her abdomen and pelvis.
- This case highlights the rarity of cervical metastasis from colon cancer in young patients and the diagnostic difficulties associated with finding cervical adenocarcinoma without showing symptoms of the primary cancer.
Article Abstract
Background: Carcinoma metastatic to the uterine cervix is very rare. The most frequent nongenital primary sites are the stomach and colon.
Case: A 17-year-old woman presented to the office for an annual gynecologic examination. The Pap smear and cervical biopsy of a 1.5-cm lesion were positive for adenocarcinoma. Subsequent surgery revealed a sigmoid tumor with extensive abdominal and pelvic carcinomatosis. Following 2 cycles of ineffective chemotherapy, the patient died 4 months after her initial visit to the gynecologist.
Conclusion: To our knowledge, this was the youngest patient in the literature with colon cancer metastatic to the cervix. This case focuses attention on the diagnostic challenge posed by an incidental finding of a cervical adenocarcinoma in the presence of an asymptomatic primary tumor.
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