A rare case of gastric squamous-cell carcinoma metastasized from the cervix

Gastric squamous-cell carcinoma (SqCC) metastasized form the cervix is rarely detected in endoscopic examination, although cervical carcinoma is the second most common in gynecologic malignancy. A 59-year-old female visited a clinic for anorexia, and an esophago-gastro-duodenoscopy (EGD) revealed multiple submucosal tumors (SMTs) of the stomach. After she was referred, an image-enhanced endoscopy enhanced multiple SMTs with white spots, whose findings were irregular micro-vascular patterns in the mucosa with irregular/absent micro-surface pattern. We took endoscopic biopsies, whose histological diagnoses were SqCC in the layer of the lamina propria under normal epithelium. Positron emission tomography-CT, CT and magnetic resonance imaging revealed an irregularly enhanced mass of the cervix, the irregularly thickening wall of the stomach and peritoneal nodules. Palliative care alone was administered based on poor condition associated with the Stage IV cervical carcinoma. In this case, endoscopic detection of gastric SqCC might provide a tip to make final diagnosis of primary site of cervical SqCC. The numbers of endoscopic examination become increasing, so further deep awareness of such patterns of metastasis in cervical cancer are required.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Clinical journal of gastroenterology - 13(2020), 6 vom: 25. Dez., Seite 1062-1065

Sprache:

Englisch

Beteiligte Personen:

Oriuchi, Masayoshi [VerfasserIn]
Uno, Kaname [VerfasserIn]
Fujishima, Fumiyoshi [VerfasserIn]
Takeuchi, Akio [VerfasserIn]
Lee, Sujae [VerfasserIn]
Hatta, Waku [VerfasserIn]
Asano, Naoki [VerfasserIn]
Koike, Tomoyuki [VerfasserIn]
Imatani, Akira [VerfasserIn]
Masamune, Atushi [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Image-enhanced endoscopy
Journal Article
Metastatic gastric tumor
Squamous-cell carcinoma of the cervix

Anmerkungen:

Date Completed 25.06.2021

Date Revised 25.06.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1007/s12328-020-01191-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM312887795