RARE PRESENTATION OF DELAYED MEDIASTINAL METASTASIS IN TWO TREATED CASES OF CERVICAL CANCER
Abstract
Cervical cancer most commonly metastasizes to para-aortic nodes, lung, abdominal cavity
and supraclavicular nodes. Metastasis to mediastinal lymph nodes is very rare. Here are two patients
from our institute where the patients with long disease free interval had metastasis to the
mediastinum, both patients were early stage cancers of uterine cervix and treated using external
radiation and brachytherapy (one patient also received concurrent chemotherapy). They were on
follow up for 4 years and 11 years when they came with complaints hoarseness of voice, and on
evaluation, a mediastinal mass biopsy and IHC proven from cervical cancer metastasis and were
treated with chemotherapy followed by external beam radiation. Good local control achieved. The
patients have been on follow up for one year with no signs of disease progression.
Full Text:
PDFReferences
Cameron RB, Loehrer PJ, Thomas Cr Jr. Neoplasms of the Mediastinum. In: Devita VT Jr, Lawrence
TS, Rosenberg SA, editors. Principles and Practice of Oncology. 8th ed. Philadelphia: Wolters
Kluwer/Lippincott Willams and Wilkins; 2008. p. 973.
Sostman HD, Matthay RA. Thoracic metastases from cervical carcinoma: Current status. Invest
Radiol 1980;15:113-9.
Shin MS, Shingleton HM, Partridge EE, Nicolson VM, Ho KJ. Squamous cell carcinoma of the uterine
cervix. Patterns of thoracic metastases. Invest Radiol 1995;30:724-9
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
An initiative of The Tamil Nadu Dr M.G.R. Medical University