A Case of Cecal Carcinoma with Metastasis to the Uterus

Abstract

A case, of cecal cancer with metastasis to the uterus is reported.
A 41-year-old woman complaining of lumbago and lower abdominal pain of two months' duration visited a hospital and abnormal findings in the ileocecal region were noted. She also visited the gynecology department of our hospital and a diagnosis of adenocarcinoma of the uterine cervix was obtained. Laparotomy visualized a goose-egg-sized tumor in the ileocecal region. Dissemination to the adjacent mesentery and extensive lymph node metastasis with lymph congestion in the mesentery and around the aorta were also identified. A diagnosis of ileocecal cancer with metastasis to the cervix, or double cancer was made. Right hemicolectomy and panhysterectomy with associated resection of both adnexa were performed. Histopathological examination confirmed the diagnosis of cecal carcinoma with metastasis to cervix.
It is believed that this carcinoma had metastasized to the cervix by retrograde lymphatic spread subsequent to tumor obstruction of the retroperitoneal lymphatics.