Article

Cutaneous metastasis to the scalp from squamous cell carcinoma of the cervix

Seoul National University, Sŏul, Seoul, South Korea
Clinical and Experimental Dermatology (Impact Factor: 1.23). 02/2003; 28(1):28-30. DOI: 10.1046/j.1365-2230.2003.01128.x
Source: PubMed

ABSTRACT Carcinoma of the cervix is a common neoplasm. Early detection and improved treatment techniques have resulted in better control of cancer and longer survival, however, invasive and metastatic disease still occur. Cervical cancer usually spreads through direct local extension and via the lymphatics, haematogenous metastasis is relatively infrequent and cutaneous metastases are very rare. Metastasis to the scalp is extremely rare and only three cases of scalp metastasis from cervical cancer have been reported in the literature. We now report a patient with cervical cancer who presented with metastasis to this very unusual site.

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    • "In females, the most frequent sources of the skin metastases are carcinomas of breast (most common primary origin), colon, ovaries, and lungs as well as melanomas. Other studies include renal cell, uterine cervix [8] [9], and gastrointestinal cancer [10– 12]. The pattern of metastasis also depends on the age of the patient [6]. "
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    • "In females, the most frequent sources of the skin metastases are carcinomas of breast (most common primary origin), colon, ovaries, and lungs as well as melanomas. Other studies include renal cell, uterine cervix [8] [9], and gastrointestinal cancer [10– 12]. The pattern of metastasis also depends on the age of the patient [6]. "
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    • "Cutaneous metastasis of cervical cancer is common at the abdominal wall, vulva, and anterior chest wall2; however, cases presenting at the scalp3,4, extremities5, umbilical surgical scar6,7, and drainage site8 have been reported. Only a few cases have been previously reported in Korean literature (Table 1)9-11. "
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    ABSTRACT: Patients with cervical cancer may develop local recurrence or distant metastasis, and the rate of these events is increased in proportion to the clinical stage. Cutaneous metastasis of cervical cancer is very rare and only a few cases have been reported in Korean literature. It is common at the abdominal wall, vulva, and anterior chest wall and mainly presents as an asymptomatic dermal or subcutaneous nodule, ulcer or plaque. We herein report on an interesting case of vulval metastasis from squamous cell carcinoma of the cervix with an unusual clinical manifestation resembling lymphagioma circumscriptum.
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