Sangnoppatham Nopparuj, Jitjaturunt Natchaya, Wongyongsil Jitpanu, Wisawasukmongchol Winn, Thaweepworadej Panya
Division of General Surgery, Department of Surgery, Bangkok Metropolitan Administration (BMA) General Hospital, 514 Luang Road, Pom Prap Subdistrict, Pom Prap Sattru Phai District, Bangkok 10100, Thailand.
Division of Urology, Department of Surgery, Bangkok Metropolitan Administration (BMA) General Hospital, 514 Luang Road, Pom Prap Subdistrict, Pom Prap Sattru Phai District, Bangkok 10100, Thailand.
J Surg Case Rep. 2025 Jun 13;2025(6):rjaf412. doi: 10.1093/jscr/rjaf412. eCollection 2025 Jun.
Neuroendocrine carcinoma of the cervix (NECC) is a rare pathological subtype of cervical cancer and patients with NECC usually develop metastasis at the time of diagnosis. While NECC commonly metastasizes to the liver, lungs, and bones, it rarely spreads to renal or peri-renal region. We report a case of a 59-year-old woman with metastatic NECC with peri-renal metastasis. After an en-bloc resection of the kidney, spleen, and distal pancreas, the pathological results suggested metastatic NECC. Further metastatic workup revealed three additional metastases in the bone, mediastinum, and axillary lymph nodes.
宫颈神经内分泌癌（NECC）是宫颈癌中一种罕见的病理亚型，NECC患者通常在确诊时就已发生转移。虽然NECC常见转移至肝脏、肺和骨骼，但很少扩散至肾脏或肾周区域。我们报告一例59岁女性转移性NECC伴肾周转移的病例。在对肾脏、脾脏和胰腺远端进行整块切除后，病理结果提示为转移性NECC。进一步的转移灶检查发现骨骼、纵隔和腋窝淋巴结还有另外三处转移。
