Metastatic adenocarcinoma to the clitoris from the cervix

Abstract

Papoutsis. Metastatic adenocarcinoma to the clitoris from the cervix. Am J Obstet Gynecol 2015. Case notes A 68-year-old woman with stage IV cervical carcinoma had a 1-month history of an enlarged painful clitoris. Initially, she had been diagnosed with a urinary tract infection and received 1 week of oral antibiotics. The following week, an abscess was suspected, and antibiotics were continued for 2 more weeks. Her condition failed to improve. Her history was significant for aortic and mitral valve replacements. She received anticoagulation with warfarin. Because the pain persisted and she was unable to tolerate a biopsy in the office, along with the concern for bleeding, she was taken to the operating room for examination under anesthesia. Examination under anesthesia revealed a firm, vascularized clitoris measuring 1.75 1 cm. When the prepuce was retracted, a clitoral base ridge was demonstrated (Figure). A clitorectomy was performed to alleviate her clitorodynia. The pathology report showed a metastatic, moderate-to-well differentiated adenocarcinoma from the cervix. The surgery relieved her pain. She received chemoradiation for metastatic cervical cancer. She died 7 months later of complications from metastatic disease.