Cutaneous Vulval Metastasis in Cervical Cancer: A Clinical Masquerade
摘要
Cutaneous metastasis is rare in cervical cancer and presents mainly as asymptomatic dermal or subcutaneous nodules, ulcers, or plaques. Carcinoma cervix with metastasis to the vulva is rarely found in clinics and management entails palliative chemotherapy or metastasectomy in some cases.
Case presentationWe present a case of previously treated cervical carcinoma with nonhealing vulvar ulcers, which upon biopsy showed a recurrence of carcinoma cervix. After the lesion was ruled as unresectable, the patient received six cycles of palliative chemotherapy following which the recurrent lesion exhibited a marked clinical response.
ConclusionThe development of cutaneous metastasis is an indicator of aggressive disease biology. Regular clinical follow-up and examination are necessary to diagnose it early. The intent of treatment remains palliative in most cases and carries a poor prognosis.