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- Title
Metastatic pancreatic carcinoma to the uterine cervix, vNOTES contributed to the diagnosis: a case report.
- Authors
Yu Kamishita; Tadayuki Kanai; Makio Yasunaga
- Abstract
Metastatic disease to the uterine cervix is exceedingly rare and past report showed incidence as low as 0.3%. Especially, pancreatic cancer metastatic to the uterine cervix is exceptionally rare. We encountered a case of recurrent pancreatic cancer presenting as a solitary metastatic to the uterine cervix. And this case we operated with the surgical method called transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES). A 71 years old women with a history of uterine prolapse cared by ring pessary for 10 years. She treated Stage4 advanced pancreatic adenosquamous cell carcinoma. She had distal pancreatectomy and splenectomy and then cared by TS-1 adjuvant chemotherapy. One year later, she was found to have elevated carcinoembryonic antigen level and para-aortic lymph node mass, and treated by heavy ion medical accelerator. Six months later, she consulted us with vaginal bleeding. We did further examination and found the uterine cervix mass and it showed adenocarcinoma, but we didn't know whether primary or not. So, we decided to do hysterectomy with vNOTES, because vNOTES can observe the abdominal cavity, can adnexectomy and is less invasive than open surgery. She was discharged fourth days after surgery. Pathological examination revealed metastatic pancreatic cancer to the uterine cervix, no malignant cell in ascites. Pancreatic cancer metastatic to the uterine cervix is exceptionally rare. So, to diagnosis, surgical reduction is needed. Therefore, surgery should be as minimally invasive as possible and vNOTES contributed to that. Metastatic disease to the uterine cervix is rare, but important entity for clinicians to consider. And surgical management is important.
- Subjects
CERVIX uteri; CERVIX uteri tumors; CERVICAL cancer; HEAVY ion accelerators; DIAGNOSIS; ABDOMEN
- Publication
Journal of Gynecologic Oncology, 2024, Vol 35, p67
- ISSN
2005-0380
- Publication type
Article
- DOI
10.3802/jgo.2024.35.S2.SF1