Case report of an unusual cecal metastasis of a primary cervical squamous cell carcinoma.
Min-Hsiang Fang, Kung-Liah Wang, Jie Lee et al.
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Case in brief
A patient with cervical squamous cell carcinoma presented with cecal metastasis, identified as focal wall thickening and a cystic lesion via PET/CT. Following systemic chemotherapy and concurrent chemoradiotherapy, the patient achieved complete remission with manageable side effects.
What made this case unusual
Cecal metastasis from cervical cancer is rare, occurring in less than 2% of cases, making this presentation noteworthy.
Diagnostic / clinical pearl
Clinicians should consider the possibility of distant metastases, including to the intestines, in cervical cancer patients, even at early stages.
Why it matters
This case highlights the importance of PET/CT in diagnosing unusual metastatic sites and suggests that combined chemotherapy and radiotherapy can be effective for advanced cervical cancer.