RECURRENCE OF CERVICAL INVASIVE CARCINOMA ASSOCIATED WITH PRIMARY RIGHT COLON CARCINOMA: A CASE REPORT

Case Presentation: A 68-year-old woman who underwent total hysterectomy 8 years ago for invasive cervical squamous cell carcinoma, free margins, without lymphovascular infiltration, received no complementary follow-up. Referred to oncologist for vaginal bleeding and anemia, denies pelvic pain or symptoms of local invasion, reports altered bowel habit, ECOG 1. Pelvic magnetic resonance showed 3.7 × 3.5cm nodule in contrast-impregnated vaginal dome, invasion of the detrusor muscle layer near the sigmoid. Dome biopsy diagnoses recurrent squamous cell carcinoma. Staging tomography shows right colon thickening. Colonoscopy shows low-grade tubular adenoma at the bottom of the caecum, ulcer-green, 5cm, with invasion to the serosa, moderate desmoplasia, perineural infiltration. Patient undergoes right ileocolectomy and adjuvant radiotherapy. Discussion: After treatment of a neoplasm, patients are at high risk of recurrence, in addition to a higher risk of secondary tumors as a result of chemo or radiotherapy treatment or associated genetic factors. Commonly, recurrences of cervical cancer will occur within the first 2 to 3 years after initial treatment. They usually present symptomatically, including pelvic or lower limb pain, lymphedema, bleeding or vaginal discharge, urinary symptoms and weight loss. Colorectal carcinoma is one of the most common neoplasms in the world adult population, being the fourth most malignant tumor. frequent in women. The incidence of tumors in the right colon is increasing, which commonly present with anemia, fecal occult blood, abdominal discomfort and / or palpable abdominal mass. This suggests that the concomitance of the patients right colon tumor is due to the high prevalence of the tumor in the general population. Final comments: Due to the lack of adjuvant treatment in primary uterine carcinoma, there is no treatment-related factor associated with tumors, suggesting that uterine tumor recurrence and primary colonic cancer would have arisen independently due to the high risk of recurrence. high prevalence in its population. Thus, the importance of follow-up after surgical treatment of neoplasms, in order to verify recurrences, and population screening for colorectal cancer is important.

 

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No conflict of interest has been declared by the author(s).

Publication History

Article published online:
23 October 2019