Mousavi Azamsadat, Karimi Zarchi Mojgan
Gynecologic Oncology Department, Tehran University of Medical Sciences, Tehran, Iran.
J Low Genit Tract Dis. 2007 Oct;11(4):276-8. doi: 10.1097/LGT.0b013e31803399bf.
Metastasis of distant malignancies to the cervix is a rare event. Patients usually present with abnormal bleeding, pain, and dyspareunia. A smaller number of patients are asymptomatic, and their tumors can be diagnosed early by Pap smears. We present 56-year-old woman with a history of intraductal breast cancer that presented with vaginal bleeding. Colposcopic pathology and fractional curettage revealed a lesion similar to her primary breast cancer. She underwent an extensive workup and hysterectomy that revealed no other lesions. Currently, she is alive and well. Cervical metastasis should be considered in women with a history of breast cancer who present with vaginal bleeding. Aggressive treatment of isolated cervical metastasis from breast cancer is warranted in appropriate patients.
远处恶性肿瘤转移至宫颈是一种罕见情况。患者通常表现为异常出血、疼痛和性交困难。少数患者无症状,其肿瘤可通过巴氏涂片早期诊断。我们报告一名56岁有导管内乳腺癌病史的女性,她出现了阴道出血。阴道镜病理检查和分段刮宫显示病变与她的原发性乳腺癌相似。她接受了全面检查和子宫切除术,未发现其他病变。目前,她健在且情况良好。有乳腺癌病史且出现阴道出血的女性应考虑宫颈转移。对于合适的患者,对孤立性乳腺癌宫颈转移进行积极治疗是必要的。