Albana Jasen, Goyal Uma
College of Medicine, University of Arizona, Tucson, USA.
Radiation Oncology, Banner MD Anderson Cancer Center, Phoenix, USA.
Cureus. 2022 Jul 26;14(7):e27300. doi: 10.7759/cureus.27300. eCollection 2022 Jul.
Locally advanced gastrointestinal cancers and cervical cancers are usually treated with a multimodality approach. Our case report shows a patient who was found to have gastrointestinal cancer in the cervix, and no primary gastrointestinal cancer was found on workup. She underwent chemoradiation to the pelvis with concurrent capecitabine and then underwent cervical brachytherapy with tandem and ovoid. She initially had done well but then noticed increased symptoms at follow-ups. Unfortunately, she was found to have residual disease about 16 months after the completion of treatment. There have been no reports of treatment of gastrointestinal cancer in the cervix with an unknown primary site in the literature to our knowledge.
局部晚期胃肠道癌和宫颈癌通常采用多模式治疗方法。我们的病例报告显示，一名患者被发现宫颈存在胃肠道癌，但在检查中未发现原发性胃肠道癌。她接受了盆腔同步放化疗，同时使用卡培他滨，然后接受了阴道施源器和卵形体的宫颈近距离放疗。她最初情况良好，但随后在随访中症状加重。不幸的是，在治疗完成约16个月后，发现她仍有残留病灶。据我们所知，文献中尚无关于原发性部位不明的宫颈胃肠道癌治疗的报道。
