Metastasis of Cervical Cancer to the Abdominal Wall

Abstract

Cutaneous metastasis from cervical cancer is rare. We report four consecutive cases of abdominal wall metastasis after patients had inappropriate surgery for cervical cancer. Between January 2015 and September 2019, we encountered 34 cases of recurrent cervical cancer. The demographic, clinical and treatment details of 4 patients with abdominal wall metastasis were obtained from electronic medical records. All four patients had had simple hysterectomy for cervical cancer elsewhere and presented with abdominal wall metastasis. All patients had squamous cell carcinoma. The duration between primary treatment and recurrence ranged between 6 and 18 months. The four patients were treated with either surgical excision or chemotherapy and radiation therapy. All patients were alive at the time of reporting. If the recurrence is limited to the anterior abdominal wall, wide local excision with repair is possible. When abdominal wall metastasis is associated with pelvic recurrence in patients who were not given radiation initially, they can be offered chemoradiation with curative intent. Individualized treatment by a multidisciplinary team can give the patient the best chances at survival and the best quality of life.