Psoas muscle metastasis from cervical carcinoma: Correlation and comparison of diagnostic features on FDG-PET/CT and diffusion-weighted MRI

Basu, Sandip; Mahajan, Abhishek

doi:10.4329/wjr.v6.i4.125

Cited by 13 publications

(9 citation statements)

References 4 publications

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“…Kim et al [ 7 ] detected secondary PA in 61% of a series of 105 patients and the most frequent cause as spondylodiscitis. In the literature, many cases are reported as cervix cancer metastasis to psoas muscle [ 9 , 10 ]. Our case is rare due to presentation of cervix cancer metastasis with psoas abscess and development of PA secondary to colon and ureter metastasis of cervix cancer.…”

Section: Discussionmentioning

confidence: 99%

An Easily Overlooked Presentation of Malignant Psoas Abscess: Hip Pain

Aşkın

Bayram

Demirdal

et al. 2015

Case Reports in Orthopedics

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Psoas abscess is a rare infectious disease with nonspecific clinical presentation that frequently causes a diagnostic difficulty. Its insidious onset and occult characteristics can cause diagnostic delays. It is classified as primary or secondary. Staphylococcus aureus is the most commonly causative pathogen in primary psoas abscess. Secondary psoas abscess usually occurs as a result of underlying diseases. A high index of clinical suspicion, the past and recent history of the patient, and imaging studies can be helpful in diagnosing the disease. The delay of the treatment is related with high morbidity and mortality rates. In this paper, 54-year-old patient with severe hip pain having an abscess in the psoas muscle due to metastatic cervical carcinoma is presented.

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Section: Discussionmentioning

confidence: 99%

An Easily Overlooked Presentation of Malignant Psoas Abscess: Hip Pain

Aşkın

Bayram

Demirdal

et al. 2015

Case Reports in Orthopedics

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“…However, sometimes differentiation is very difficult (5). In fact, clinical presentation, association of advanced imaging techniques including ultrasound, computed tomography particularly magnetic resonance imaging and PET/CT scan with higher sensitivity and higher specificity can be useful (6). Most patients with advanced cervical cancer may have widespread metastatic lesions.…”

Section: Discussionmentioning

confidence: 99%

Iliopsoas Muscle Metastasis from Cervical Carcinoma

et al. 2018

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Introduction: Isolated metastasis of cervical carcinoma to iliopsoas region might be infrequent and its occurrence is a diagnostic challenge. The aim of this study was to report on a case of iliopsoas muscle metastasis from cervical carcinoma. Case Presentation: A 52-year-old multiparous females complaining about post menopause bleeding was referred to the researcher's oncology department. Gynecological examination revealed cervical mass with involved parameters and biopsy confirming squamous cell carcinoma. In addition, the patient had a large cystic mass on the lateral side of pelvic area and abdomen. Investigations detected solid ovarian mass associated with a rise of tumor marker CA-125 and CEA levels. Magnetic resonance imaging (MRI) and CT scan reports suggested possible hematoma in iliopsoas muscle. Imaging-guided biopsy detected metastatic squamous cell carcinoma in iliopsoas muscle mass. Based on diagnosis of advance stage cervical cancer, the patient received chemotherapy following adjuvant radiation therapy. Conclusions: Metastasis of squamous cell carcinoma of the cervix to iliopsoas muscle is considered as a rare event. It is recommended to keep this unusual manifestation in mind.

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“…Although the abscess showed a decrease in size it never resolved fully which was attributed to the malignant origin of the disease. From the other cases it is evident that only a correct histological classification of the abscess could lead to an appropriate treatment of the primary cause which is concurrent chemoradiotherapy [ 12 , 19 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

Psoas abscess secondary to retroperitoneal distant metastases from squamous cell carcinoma of the cervix with thrombosis of the inferior vena cava and duodenal infiltration treated by Whipple procedure: A case report and review of the literature

et al. 2016

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BackgroundPsoas abscess is a rare clinical disease of various origins. Most common causes include hematogenous spread of bacteria from a different primary source, spondylodiscitis or perforated intestinal organs. But rarely some abscesses are related to malignant metastatic disease.Case presentationIn this case report we present the case of a patient with known squamous cell carcinoma of the cervix treated with radio-chemotherapy three years prior. She now presented with a psoas abscess and subsequent complete inferior vena cava thrombosis, as well as duodenal and vertebral infiltration. The abscess was drained over a prolonged period of time and later was found to be a complication caused by metastases of the cervical carcinoma. Due to the massive extent of the metastases a Whipple procedure was performed to successfully control the local progress of the metastasis.ConclusionAs psoas abscess is an unspecific disease which presents with non-specific symptoms adequate therapy may be delayed due to lack of early diagnostic results. This case report highlights the difficulties of managing a malignant abscess and demonstrates some diagnostic pitfalls that might be encountered. It stresses the necessity of adequate diagnostics to initiate successful therapy. Reports on psoas abscesses that are related to cervix carcinoma are scarce, probably due to the rarity of this event, and are limited to very few case reports. We are the first to report a case in which an extensive and complex abdominal procedure was needed for local control to improve quality of life.

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Psoas muscle metastasis from cervical carcinoma: Correlation and comparison of diagnostic features on FDG-PET/CT and diffusion-weighted MRI

Cited by 13 publications

References 4 publications

An Easily Overlooked Presentation of Malignant Psoas Abscess: Hip Pain

An Easily Overlooked Presentation of Malignant Psoas Abscess: Hip Pain

Iliopsoas Muscle Metastasis from Cervical Carcinoma

Psoas abscess secondary to retroperitoneal distant metastases from squamous cell carcinoma of the cervix with thrombosis of the inferior vena cava and duodenal infiltration treated by Whipple procedure: A case report and review of the literature

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