A review of duodenal metastases from squamous cell carcinoma of the cervix presenting as an upper gastrointestinal bleedReportar como inadecuado




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World Journal of Surgical Oncology

, 9:113

First Online: 29 September 2011Received: 01 July 2011Accepted: 29 September 2011

Abstract

Upper gastrointestinal bleeding due to duodenal metastases is extremely uncommon. Extra-pelvic spread of squamous cell carcinoma SCC of the cervix to the small bowel is rare with only 6 reported cases in the English literature since 1981PubMed, Medline.

We report the case of a 49-year-old woman who presented with upper-gastrointestinal bleeding two years after the diagnosis of SCC of the cervix. At esophagogastroduodenoscopy, there was a stricture in the second part of the duodenum which was biopsied for a suspected neoplastic lesion. Histologic and immunohistochemical examination showed a malignant lesion with characteristics identical to her original tumor in the cervix confirming the duodenal metastases.

The clinical presentation of a -malignant- upper-gastrointestinal bleed due to duodenal metastases from SCC of the cervix is unusual. Awareness of such infrequent patterns of metastases in cervical cancer confirmed by histopathological diagnosis is important for best practice therapeutic decisions in these patients.

Keywordssquamous cell carcinoma of the cervix small bowel metastases duodenal stricture upper gastrointestinal bleed histopathological diagnosis Electronic supplementary materialThe online version of this article doi:10.1186-1477-7819-9-113 contains supplementary material, which is available to authorized users.

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Autor: Rani Kanthan - Jenna-Lynn Senger - Dana Diudea - Selliah Kanthan

Fuente: https://link.springer.com/



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