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Shi Y, Yee-Chang M, Sun W, Simsir A. Metastatic breast carcinoma presenting in the uterine cervix: Lessons learned from liquid-based Pap test. Diagn Cytopathol 2020; 49:439-442. [PMID: 33171013 DOI: 10.1002/dc.24657] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 10/14/2020] [Accepted: 10/23/2020] [Indexed: 11/10/2022]
Affiliation(s)
- Yan Shi
- Departments of Pathology, New York University Langone Health, New York, New York, USA
| | - Melissa Yee-Chang
- Departments of Pathology, New York University Langone Health, New York, New York, USA
| | - Wei Sun
- Departments of Pathology, New York University Langone Health, New York, New York, USA
| | - Aylin Simsir
- Departments of Pathology, New York University Langone Health, New York, New York, USA
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Yuan L, Oshilaja O, Sierk A, Zhang G, Booth CN, Brainard J, Dyhdalo KS. Metastatic breast cancer diagnosed on cervical cytology. Cytopathology 2020; 32:127-131. [PMID: 32789952 DOI: 10.1111/cyt.12901] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Revised: 07/21/2020] [Accepted: 08/09/2020] [Indexed: 01/23/2023]
Affiliation(s)
- Lisi Yuan
- Department of Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA.,Department of Pathology and Laboratory Medicine, Henry Ford Hospital, Detroit, MI, USA
| | - Olaronke Oshilaja
- Department of Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA
| | - Anne Sierk
- Department of Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA
| | - Gloria Zhang
- Department of Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA
| | - Christine N Booth
- Department of Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA
| | - Jennifer Brainard
- Department of Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA
| | - Kathryn S Dyhdalo
- Department of Pathology, Pathology and Laboratory Medicine Institute, Cleveland Clinic, Cleveland, OH, USA
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Berhili S, El Khannoussi B, Kadiri S, Mezouri I, Bazine A, Touil A, El Khiyat I, Kebdani T, Benjaafar N. Uterine cervix metastasis from a sigmoid adenocarcinoma: a rare presentation of an uncommon tumor. GYNECOLOGIC ONCOLOGY RESEARCH AND PRACTICE 2014; 1:6. [PMID: 27231559 PMCID: PMC4878055 DOI: 10.1186/2053-6844-1-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2014] [Accepted: 08/26/2014] [Indexed: 11/30/2022]
Abstract
Metastatic carcinoma to the uterine cervix from colorectal cancer, through haematogenous or lymphatic spread, is extremely rare. We report the case of a 59 year old woman in whom cervical metastasis was diagnosed after 13 months of follow-up for a sigmoid adenocarcinoma, confirmed by immunohistochemical study, with a review of the literature. This case illustrates that abnormal gynecologic symptoms can reveal a disease progression on patients who suffer colorectal cancer.
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Affiliation(s)
- Soufiane Berhili
- Department of Radiotherapy, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Basma El Khannoussi
- Laboratory of Cytopathology, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Selma Kadiri
- Department of Radiotherapy, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Imane Mezouri
- Department of Radiotherapy, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Amine Bazine
- Department of Radiotherapy, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Asmae Touil
- Department of Radiotherapy, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Imane El Khiyat
- Laboratory of Cytopathology, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Tayeb Kebdani
- Department of Radiotherapy, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
| | - Noureddine Benjaafar
- Department of Radiotherapy, National Institute of Oncology, Ibn Sina University Hospital, Mohamed 5 Souissi University, Rabat, Morocco
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Zulfiqar M, Liu S, Shi D, Madan S, Jacques S, King L, Shidham V, Giorgadze T. Metastatic colorectal adenocarcinoma in cervicovaginal cytology specimens confirmed by immunocytochemical stains on liquid base specimens: Two study cases with review of the literature. Cytojournal 2013; 10:9. [PMID: 23858319 PMCID: PMC3709382 DOI: 10.4103/1742-6413.112297] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2012] [Accepted: 04/02/2013] [Indexed: 11/05/2022] Open
Abstract
Only a few cases of adenocarcinoma (ACA) metastatic to the female lower genital tract diagnosed on cervicovaginal Pap smear have been reported during the past several decades. Both conventional and liquid based cytology (LBC) have limited sensitivity and specificity in diagnosing metastatic disease and immunocytochemical (ICC) staining may be needed for confirming the diagnosis. We present two cases of metastatic colorectal ACA diagnosed on cervicovaginal ThinPrep (TP) Pap smears, with one confirmed by ICC staining method. Recognition of extra-uterine malignancy in the cervicovaginal cytology specimen is critical for the disease diagnosis, prognosis, and the treatment. ICC staining performed on the residual LBC specimen is an important methodology to confirm the diagnosis.
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Affiliation(s)
- Muhammad Zulfiqar
- Department of Pathology, Wayne State University, Detroit Medical Center, Karmanos Cancer Institute, MI, USA
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5
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Crossley B, Rogers S, Kurien G. Diagnosis of asymptomatic metastatic lobular carcinoma of breast on conventional and liquid-based cervical cytology samples from the same patient. Cytopathology 2013; 25:209-10. [DOI: 10.1111/cyt.12078] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- B. Crossley
- Department of Pathology; The Royal Oldham Hospital; The Pennine Acute Hospitals NHS Trust; Oldham UK
| | - S. Rogers
- Department of Histopathology; Doncaster Royal Infirmary; Doncaster and Bassetlaw Hospitals NHS Trust; Doncaster UK
| | - G. Kurien
- Department of Histopathology; Doncaster Royal Infirmary; Doncaster and Bassetlaw Hospitals NHS Trust; Doncaster UK
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6
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Pérez-Montiel D, Serrano-Olvera A, Salazar LC, Cetina-Pérez L, Candelaria M, Coronel J, Montalvo LAH, de León DC. Adenocarcinoma metastatic to the uterine cervix: a case series. J Obstet Gynaecol Res 2012; 38:541-9. [PMID: 22353422 DOI: 10.1111/j.1447-0756.2011.01747.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
AIMS The objectives of this report are, first, to describe the clinical behavior of cases of carcinoma metastatic to the uterine cervix treated at our institution in order to carry out a systematic review to establish the behavioral patterns of the most frequent metastases to the cervix and, second, to generate guidelines for their diagnosis and treatment. METHODS At the National Institute of Cancer of Mexico (INCan), we performed a review of the clinical files with a diagnosis of malignant neoplasm metastatic to the uterine cervix between 1990 and 2009. For a systematic review, we conducted a PubMed search between the years 1970 and 2009 of case reports and series of cases of patients with metastatic gastric, breast, ovarian and colorectal cancer. We analyzed each report individually and extracted the patients' clinical data from our cases and reports, including the primary tumor, cervical metastases and survival rates. RESULTS There were 10 cases of tumors metastatic to the uterine cervix. Metastasis was documented in one-half of the patients during follow up, with two of these cases having the cervix as the only site. We included the following reports in the systematic review: 13 reports of gastric-associated cancer, 30 related to breast cancer, nine with ovarian-associated cancer and 10 related to colorectal cancer. CONCLUSIONS Metastatic cervical activity is an infrequent event. The prognosis of survival is poor in the presence of gastric or ovarian cancer and cervical metastases.
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Affiliation(s)
- Delia Pérez-Montiel
- Department of Pathology, National Institute of Cancer of Mexico, Mexico City, Mexico
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7
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Gupta N, Dudding N, Smith JHF. Cytomorphological features of extra-genital metastases in SurePath™ cervical liquid-based cytology: a series of eight cases. Cytopathology 2012; 24:123-8. [PMID: 22220573 DOI: 10.1111/j.1365-2303.2011.00945.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- N Gupta
- Department of Cytology, Royal Hallamshire Hospital, Sheffield, UK East Pennine Cytology Training Centre, Raynham House, Capitol Park West, Leeds, UK
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8
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Primary signet-ring cell adenocarcinoma of the endometrium: case report and review of the literature. Int J Gynecol Pathol 2010; 29:269-72. [PMID: 20407328 DOI: 10.1097/pgp.0b013e3181c1cbf2] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Endometrial adenocarcinoma presenting with deep venous thrombosis is an exceptional event more typical of extra-mullerian primary tumors. Metastases to the spleen are also unusual in this setting. In addition, primary endometrial adenocarcinoma with signet-ring cell features has been reported only once. This study describes a case of primary endometrial carcinoma with prominent signet-ring cell features that presented in an unusual manner: with bilateral deep vein thromboses and splenic metastases. It is important for clinicians and pathologists to be aware of this entity; it may have an atypical clinical presentation and the histologic features raise a spectrum of differential diagnoses.
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Bogliolo S, Morotti M, Valenzano Menada M, Fulcheri E, Musizzano Y, Casabona F. Breast cancer with synchronous massive metastasis in the uterine cervix: a case report and review of the literature. Arch Gynecol Obstet 2009; 281:769-73. [DOI: 10.1007/s00404-009-1264-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2009] [Accepted: 10/09/2009] [Indexed: 10/20/2022]
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10
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Giordano G, Gnetti L, Pilato FP, Viviano L, Silini EM. The role of cervical smear in the diagnosis and management of extrauterine malignancies metastatic to the cervix: Three case reports. Diagn Cytopathol 2009; 38:41-6. [PMID: 19626626 DOI: 10.1002/dc.21149] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Giovanna Giordano
- Department of Pathology and Medicine of Laboratory, Section of Pathology, Parma University, Parma, Italy.
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11
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Late Breast Cancer Recurrence to the Uterine Cervix With a Review of the Literature. Int J Gynecol Pathol 2008; 27:113-7. [DOI: 10.1097/pgp.0b013e31806add82] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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12
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Agrawal S, Jeyarajah A, Al-Okati D, Igbokwe UO. Metastatic lobular carcinoma of breast presenting on a routine cervical smear. Cytopathology 2006; 17:312-3. [PMID: 16961666 DOI: 10.1111/j.1365-2303.2006.00348.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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