Abdominal scar recurrence of squamous cell carcinoma of cervix following simple hysterectomy.

Abstract

Carcinomas of uterine cervix recur most commonly locoregionally after surgery and/or radiation therapy. The pelvis (parametrium or lymph nodes) and vagina are the most frequent sites of relapse. Distant metastases are rare, and usually observed in the lungs, bone, and liver [1]. On the other hand, the common primary sites of patients with skin metastases are the breast, large intestine, lung, and ovary. However, the incidence of incisional skin metastases from carcinoma cervix is extremely rare; incidence ranges from 0.1 to 0.2 % [2]. The present case is unusual because incisional skin metastasis was seen in squamous cell carcinoma cervix where patient did not receive any adjuvant treatment after simple abdominal hysterectomy and presented to us 2.5 years after surgery with skin and omental metastases.