Report a Rare Case of Cervical Metastatic of Renal Cancer

Document Type : Case report

Authors

1 Assistant Professor, Department of Radiotherapy and Oncology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Assistant Professor, Department of Obstetrics and Gynecology, Ovulation Dysfunction Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Resident of Radiotherapy and Oncology, Solid Tumor Treatment Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction: Since renal cell carcinoma (RCC) is an aggressive tumor with unpredictable behavior, 30-50% of patients have metastatic lesions at the time of tumor diagnosis. The most common sites of cancer metastasis includes bones, lungs, liver and brain; however metastasis to the cervix rarely occurs and only few cases have been reported worldwide.
Case report: A 57 years old woman referred with nonspecific abdominal pain from 10 month later, without weight loss and vaginal bleeding. After CT scanning of the abdomen and pelvis, a mass in the superior part of the left kidney was seen and nephrectomy was performed. Pathology reports the third stage of renal cell carcinoma extending to the renal capsule, but the capsule was not ruptured and had no lymph node involvement. After the surgery, patient's pain was relief and considering completing removal of the tumor, no complementary therapies were done. One year follow up of surgery, the patient underwent hysterectomy operation due to a uterine mass in diagnostic CT scan of abdominopelvic and pathological examination confirmed a renal cell carcinoma metastasis to cervix.
Conclusion: This report emphasized the probability of RCC metastasis to the cervix, despite its rarity.

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