Sugimoto Takuya, Mike Makio, Abe Masaru, Kano Nobuyasu
Department of Surgery, Kameda Medical Center, Kamogawa, Chiba, Japan.
BMJ Case Rep. 2013 Aug 26;2013:007896. doi: 10.1136/bcr-2012-007896.
A few cases of small bowel metastasis from uterine cervical cancer have been previously reported. All reported cases were connected to squamous cell carcinoma, while none were associated with cervical adenocarcinoma. This report is of a rare case of cervical adenocarcinoma that haematogenously metastasised to the small intestine, and which caused a perforation and small bowel obstruction metachronously. An 84-year-old woman was admitted to our hospital with vaginal bleeding. She was diagnosed with FIGO stage III cervical adenocarcinoma by imaging and pathohistological examinations. Three months after receiving radiation therapy to control the bleeding, surgery was performed twice; the first operation for small bowel perforation and the second for small bowel obstruction. She was then diagnosed with haematogenous metastasis of cervical adenocarcinoma to the ileum according to the operative, histopathological and immunopathological findings.
先前已有几例子宫颈癌小肠转移的病例报道。所有报道的病例均与鳞状细胞癌有关，而无一例与宫颈腺癌相关。本报告是一例罕见的宫颈腺癌经血行转移至小肠，并同时导致穿孔和小肠梗阻的病例。一名84岁女性因阴道出血入院。经影像学和病理组织学检查，她被诊断为国际妇产科联盟（FIGO）III期宫颈腺癌。在接受放射治疗以控制出血三个月后，进行了两次手术；第一次手术是针对小肠穿孔，第二次是针对小肠梗阻。根据手术、组织病理学和免疫病理学检查结果，她随后被诊断为宫颈腺癌血行转移至回肠。
