title: Adenocarcinoma of the cervix metastatic from a colon primary and diagnosed from a routine pap smear in a 17-year-old woman: a case report.
abstract: BACKGROUND
  Carcinoma metastatic to the uterine cervix is very rare. The most frequent nongenital primary sites are the stomach and colon.
  
  
  METHODS
  A 17-year-old woman presented to the office for an annual gynecologic examination. The Pap smear and cervical biopsy of a 1.5-cm lesion were positive for adenocarcinoma. Subsequent surgery revealed a sigmoid tumor with extensive abdominal and pelvic carcinomatosis. Following 2 cycles of ineffective chemotherapy, the patient died 4 months after her initial visit to the gynecologist.
  
  
  CONCLUSIONS
  To our knowledge, this was the youngest patient in the literature with colon cancer metastatic to the cervix. This case focuses attention on the diagnostic challenge posed by an incidental finding of a cervical adenocarcinoma in the presence of an asymptomatic primary tumor.
authors.affiliation: Department of Obstetrics and Gynecology, Penobscot Valley Hospital, Lincoln, ME 04457, USA. sozen8241@yahoo.com
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Sozen
authors.forename: Laurie
authors.initials: L
authors.lastname: Small
authors.forename: Mark
authors.initials: M
authors.lastname: Kowalski
authors.forename: Sara W
authors.initials: SW
authors.lastname: Mayo
authors.forename: Craig A
authors.initials: CA
authors.lastname: Hurwitz
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000556:secondary* / Q000628:therapy; D000293:Adolescent; D000970:Antineoplastic Agents / Q000627:therapeutic use; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D065006:Papanicolaou Test; D012811:Sigmoid Neoplasms / Q000175:diagnosis* / Q000473:pathology* / Q000628:therapy; D013514:Surgical Procedures, Operative; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000556:secondary* / Q000628:therapy; D014626:Vaginal Smears
chemical_list: D000970:Antineoplastic Agents