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Isolated metastasis from uterine cervix from primary breast carcinoma: A case report

Joan Marie C. Toh, MD and Leo Francis N. Aquilizan, MD, FPOGS, FSGOP
Department of Obstetrics and Gynecology, St. Luke’s Medical Center–Quezon City

Metastasis of malignancy to the uterine cervix is a rare event in itself. Breast cancer is a commonly diagnosed malignancy in women that has been extensively studied, and it has been known that common areas of metastasis are the lungs, skin, liver and brain. Since the 1980s, there have been a handful of reported cases of metastasis to the uterine cervix. We present the case of a 64-year-old Gravida 4 Para 1 (1031) who developed postmenopausal bleeding 9 years after treatment of the primary breast cancer, which after work-up, turns out to be an isolated metastatic lesion to the cervix. In cases such as this one, surgery is a reasonable treatment option that is sufficient in itself without the need for chemotherapy or radiation. Our patient was offered a different treatment option, which is chemotherapy, instead of proceeding straight to the treatment option presented by most case reports, which is surgery. This paper aims to highlight a possible route of metastasis, to emphasize the need for regular gynecological examination in patients with breast cancer, as well as the importance of aggressive treatment in the form of surgery in cases of isolated cervical metastasis.