Abstract
Metastatic neoplasm of the small intestine is uncommonly encountered. We herein reported a case of 66-year-old female patient with a history of cervical carcinoma presented as a spell of digestive symptoms. Imaging examination revealed disseminated disease involving her proximal jejunum. Endoscopic biopsy was performed showing metastatic squamous cell carcinoma with the same characteristics of cervical lesion. Although the clinical presentation of enteral metastases is extremely rare, awareness of such metastatic pattern of cervical cancer is necessary for diagnostic practices and therapeutic decisions.
Highlights
Malignant tumors of the small bowel are uncommon tumor accounting for only 1-5% of all gastrointestinal tract malignancies [1]
We share a rare case of metastasis of the proximal jejunum from cervical carcinoma presenting as postprandial nausea and vomiting
About 60-80% of cervical neoplasia is squamous cell carcinoma, 5-15% is adenocarcinoma and less 10% consists of adenosquamous carcinoma [3]
Summary
Malignant tumors of the small bowel are uncommon tumor accounting for only 1-5% of all gastrointestinal tract malignancies [1]. We share a rare case of metastasis of the proximal jejunum from cervical carcinoma presenting as postprandial nausea and vomiting. Patient had complaints of appetite loss, postprandial nausea, intermittent vomiting and abdominal bloating She was diagnosed with stage IIb squamous cell carcinoma of cervix three years ago and received concurrent chemotherapy and radiation treatment. Additional immunohistochemistry supported the diagnosis of squamous cell carcinoma based on the results of histochemical staining: P63 (+), CK5/6 (+), P40 (+), CK7 (-), and CK20 (-) (Figure 2c, d). In view of these data, the lesion was considered to be cervical carcinoma and underwent self-expanding metal stent insertion via endoscopy.
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