Unusual Peritoneal Metastasis of Late Recurrent Uterine Cervical Cancer: A Case Report and Literature Review

Abstract

Uterine cervical cancer is one of the most common malignancies of the female genital tract. Most recurrent cases of uterine cervical cancer are diagnosed within two years after primary treatment, and late recurrence after a disease-free interval of more than five years is rare. In addition, peritoneal metastases usually present as multifocal discrete nodules in the peritoneal cavity with nodular or diffuse peritoneal thickening. Herein, we report an extremely rare case of late recurrent cervical cancer peritoneal metastasis with an unusual manifestation of a large, solitary necrotic mass in the right subphrenic space on contrast-enhanced CT.

Distant organ metastasis patterns and prognosis of cervical adenocarcinoma: a population-based retrospective study

“…Meanwhile, there are also numerous studies exploring improved minimally invasive surgical techniques, among which the modified laparoscopic radical hysterectomy (MLRH) approach has shown a survival advantage in patients with stage 1B1 and mid-third cervical invasion ( 41 ). Additionally, in another case of late-stage recurrent cervical cancer with peritoneal metastasis, 32 years after tumor resection, enhanced CT imaging revealed a large metastatic lesion in the right subphrenic space ( 42 ). Peritoneal lymphatic stomata, which link the peritoneal cavity to the lymphatic system, may contribute to the spread of the disease ( 43 ).…”