A Case of Metastatic Tumor of the Small Intestine from Uterine Cervical Cancer

Abstract

A 62-year-old woman was admitted to our hospital because of abdominal pain. She had a history of total hysterectomy, bilateral salpingo-oophorectomy, and partial cysterectomy for uterine cervical cancer (squamous cell carcinoma [SCC] : keratinizing type), stage IIb, followed by neo adjuvant chemotherapy (5-FU, CDDP). Six months after the operation, she presented with abdominal pain and vomiting. Fluoroscopy via an ileus tube revealed an apple core lesion in the small intestine. Laparotomy revealed a tumor in the ileum and local recurrence of the uterine cervical cancer in the pelvis. We performed partial resection of the small intestine and sigmoid colostomy. The histological diagnosis was SCC of the small intestine compatible with metastasis of uterine cervical cancer. Metastasis from uterine cervical cancer to the small intestine is very rare.