Metastasis of a cervical carcinoma to the clitoris

Jiang, Shimin; Sheng, Xiugui; Song, Qingwei; Lu, Chien-Hsing; Pan, Chan-Feng; Li, Q. S.

doi:10.3109/01443615.2014.937335

Cited by 7 publications

(4 citation statements)

References 11 publications

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“…In addition, we found only six case reports of clitoral metastasis of cervical cancer [13][14][15][16][17][18]. The main manifestations of clitoral metastasis are clitoral pain and enlargement.…”

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

External Urethral Orifice Metastasis of Cervical Cancer Treated With Intraluminal Urethral Brachytherapy Using a Lumencath Applicator: The First Case Report

Takagawa

Okano

Takahashi

et al. 2022

Advances in Radiation Oncology

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

show abstract

Section: Discussionmentioning

confidence: 98%

“…In addition, we found only 6 case reports of clitoral metastasis of cervical cancer. 13 , 14 , 15 , 16 , 17 , 18 The main manifestations of clitoral metastasis are clitoral pain and enlargement. However, in our case, no metastatic lesions were observed in the vulva or clitoris.…”

Section: Discussionmentioning

confidence: 99%

External Urethral Orifice Metastasis of Cervical Cancer Treated With Intraluminal Urethral Brachytherapy Using a Lumencath Applicator: The First Case Report

Takagawa

Okano

Takahashi

et al. 2022

Advances in Radiation Oncology

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show abstract

“…In addition, we found only six case reports of clitoral metastasis of cervical cancer. [11][12][13][14][15][16] The main manifestations of clitoral metastasis are clitoral pain and enlargement. However, in our case, no metastatic lesions were observed in the vulva or clitoris.…”

Section: Discussionmentioning

confidence: 99%

External Urethral Orifice Metastasis of Cervical Cancer Treated With Intraluminal Urethral Brachytherapy Using a Lumencath Applicator: the First Case Report

Takagawa

Okano

Takahashi

et al. 2021

Preprint

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Background: This is the first case report of external urethral orifice metastasis in primary cervical cancer.Case presentation: The patient was histologically diagnosed with cervical squamous cell carcinoma, which involved not only the lower third of the vagina but also isolated metastasis of the external urethral orifice. We performed definitive chemoradiotherapy with weekly cisplatin and external beam radiation therapy followed by brachytherapy (BT). Considering tumor involvement, we used the Tandem, Cylinder, and Lumencath applicators to treat not only the cervix and vagina but also the entire urethra in BT sessions. The prescribed BT dose was 24 Gy in four fractions. The average clinical target volume (CTV) D90 of the cervix, vagina, and urethra in BT sessions were 7.3, 6.0, and 5.6 Gy, respectively. The average CTVs of the urethra in D0.1 cc and D1 cc were 18.1 Gy and 9.0 Gy, respectively. No grade ≥3 acute and late toxicities were observed during the 9-month follow-up. We achieved excellent local control for both primary tumor and external urethral orifice metastasis of cervical cancer.Conclusion: This rare case report suggested that gynecologists and radiation oncologists should keep in mind to examine not only the cervix and vagina but also the external urethral orifice for patients with primary cervical cancer. Intraluminal urethral BT using the Lumencath applicator is a good treatment option for cervical cancer with urethral involvement.

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“…Secondary carcinoma of the clitoris is extremely rare and it can originate from urinary system cancer (bladder, kidney), followed by endometrium and gastrointestinal system. 17 Few cases of painful neuromas have been reported after FGM or cutting in clitoris resulting in disorganized proliferation growth of the proximal end of traumatized nerves causing severe pain and discomfort know as Post-traumatic Clitoral Neuroma. Treatment is excision of the neuroma in-toto during clitoral reconstruction have shown to decrease pain and improvement in sexual function as well.…”

Section: Introductionmentioning

confidence: 99%

A Clitoral mass in postmenopausal women: a diagnostic dilemma

Kanchan

Garg

Kyalakond

et al. 2023

Preprint

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Clitoral mass is not commonly encountered in Gynecology practice and the literature is scanty. Clitoral mass can be due to Cancer, Granuloma, epidermoid cyst, peri-clitoral abscess, fibroid and Neuromas 1 and clinical presentation is overlapping making it difficult to diagnose. Clitoral cancer is a form of vulvar cancer, is an unpleasant dreadful malignancy and is very rare. Rare case reports of pyogenic granuloma of the labia and clitoris in postmenopausal women with similar presentation and diagnosed by histopathology requiring excision. Similarly neuromas of clitoris are also a known entity seen mainly after FGM.Aim : Awareness regarding the rare causes of clitoral mass including malignancy and granuloma with their overlapping symptoms.Materials & Methods : Prospective observational case report. Conclusion:A Multidisciplinary approach is important to diagnose and differentiate the clitoris granuloma from that of malignancy. The clinical examination and imaging can be misleading at times and diagnosis is only by histopathology Clinical Significance: Multidisciplinary team involvement and through counseling is needed. Significance of clitoris is well established as the most vital part in sexual function, there is an urgent need to focus our attention on more and more case reports and reviews on its literature of disease related to clitoris.

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Metastasis of a cervical carcinoma to the clitoris

Cited by 7 publications

References 11 publications

External Urethral Orifice Metastasis of Cervical Cancer Treated With Intraluminal Urethral Brachytherapy Using a Lumencath Applicator: The First Case Report

External Urethral Orifice Metastasis of Cervical Cancer Treated With Intraluminal Urethral Brachytherapy Using a Lumencath Applicator: The First Case Report

External Urethral Orifice Metastasis of Cervical Cancer Treated With Intraluminal Urethral Brachytherapy Using a Lumencath Applicator: the First Case Report

A Clitoral mass in postmenopausal women: a diagnostic dilemma

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