Díaz José Fernando Robles, Zelaya Adela Heredia, Rosas Alicia Milagros Avalos
National Institute of Neoplastic Diseases, Lima 34, Av. Angamos Este 2520 Surquillo, Lima, Peru.
Ecancermedicalscience. 2019 Oct 17;13:969. doi: 10.3332/ecancer.2019.969. eCollection 2019.
Cervical cancer is the second most common cancer in women worldwide and the first in Peru; however, metastasis to the cranial scalp is extremely rare. We present the case of a 41-year-old woman diagnosed with cervical cancer IIIB, who received treatment based on concurrent pelvic radiotherapy with chemotherapy followed by brachytherapy at the primary level with complete response, developing, at 18 months, a metastatic lesion at the scalp level without evidence of recurrence in the cervix. With the rapid growth of the metastatic lesion leading to the destruction of the cranial cap, the meninges can be observed directly, without presenting to the neurological clinic.
宫颈癌是全球女性中第二常见的癌症，在秘鲁则是第一常见的癌症；然而，转移至头皮极为罕见。我们报告一例41岁女性，被诊断为IIIB期宫颈癌，接受了盆腔同步放化疗，随后进行了原发灶近距离放疗，治疗后完全缓解，18个月时头皮出现转移灶，宫颈未见复发迹象。随着转移灶迅速生长导致颅盖破坏，可以直接观察到脑膜，且患者未前往神经科就诊。
