Intestinal adenocarcinoma of the uterine cervix with gastrointestinal metastasis

Abstract

Introduction: Endocervical adenocarcinomas represent a very heterogeneous group of tumors. Mucinous adenocarcinoma of the intestinal type is a rare histologic variant. Clinical case: 38-year-old female patient, who consulted for abnormal uterine bleeding, as well as more frequent cycles accompanied by dysmenorrhea, denying any other added symptomatology. She also underwent speculoscopy where a verrucous lesion was found, hypervascularized at that time, a biopsy which reported endocervical mucosa with moderate chronic inflammation and papillary, mild vascular congestion, compatible with endocervical polyp and MRI with enlarged uterus with thickened endometrium myometrium and nodular endometriotic implant of cystic appearance in the cervical isthmus junction. Due to the persistence of the symptoms it was decided to perform a total hysterectomy by laparoscopy, intraoperatively moderately differentiated adenocarcinoma implants were observed, compatible with endocervical primary. It was decided not to continue with the surgical time for neoadjuvant chemotherapy management. Conclusion: Establishing the preoperative anatomopathologic diagnosis is decisive to improve the treatment to reduce morbidity and mortality of the patient.