A case of metastatic carcinoma of the ileocaecal valve presenting as a primary growth

Abstract

SENIOR SURGICAL REGISTRAR, THE LONDON HOSPITAI BLOOD-BORNE metastatic tumours of the intestines are rare, and the following case report of a blood-borne metastasis in the caecum from a primary neoplasm of the cervix was considered worth recording.T h e metastasis occurred at the ileocaecal valve, and 'tertiary ' deposits in the regional lymph-nodes draining this area were found. Presumably the route of spread was via the blood-stream, but there was no evidence of metastases elsewhere at the time of operation, nor was any local recurrence discovered.T h e patient presented with a mobile mass in the right iliac fossa and, both before and at operation, was thought to be suffering from a primary carcinoma of the czcum. Right hemicolectomy was, therefore, done, and the patient made a satisfactory immediate recovery. Unfortunately, seven months later she developed evidence of spinal metastases.

Colonic metastasis from primary squamous cell carcinoma of the cervix

“…Metastasis to the gastrointestinal tract is extremely uncommon, occurring in less than four percent of cases [3]. Very few cases of metastasis to the colon have been reported in the literature [4][5][6][7].…”

Colonic metastasis from carcinoma cervix: an unusual cause of intestinal obstruction

“…Metastasis to the gastrointestinal tract is extremely uncommon, occurring in less than four per cent of cases. [4][5][6] Metastasis to the colon, from any malignancy, can either be transperitoneal, hematogenous, retrograde lymphatic, or by transluminal spread. 4 Since the tumour was infiltrating the serosa, and sparing the mucosa, and because there were omental metastasis, in this case, the mode of metastatic spread must have been transperitoneal.…”

Isolated metastasis to colon from carcinoma cervix

“…[1,2] Although colonic metastasis have been reported from primary cancers of organs such as breast, cervix, kidney, ovary, and malignant melanomas, [2][3][4] the pathogenesis of SCC of the colon is unclear due to its rarity. [6] Metastasis from cervical carcinoma may be of two types: (a) a mesenteric mass extending into the bowel wall (b) intramural masses eventually ulcerating into the bowel. [5] De Jode reported a case of cervical carcinoma recurring after 16 months of radiotherapy and presenting as a primary tumor of the cecum.…”