title: "Occult" neuroendocrine component and rare metastatic pattern in cervical cancer: report of a case and brief review of the literature.
abstract: Distant metastases in small cell carcinomas of the uterine cervix are rare, and a disseminated manifestation of the disease is uncommon. This is a case report of a 40-year-old woman treated with platin-based radio-chemotherapy for a moderately differentiated squamous cell cervical cancer FIGO Stage IB 1 (with positive paraaortic lymph nodes). One year later she presented with remarkably unusual cutaneous metastases of the left thumb and scalp as the first signs of spread of disease, including kidney, lung and brain metastases. An advanced retrospective immunohistochemical staining of the cervical biopsy discovered a small neuroendocrine component of the carcinoma as the presumably causative factor for the rare metastastic pattern and poor prognosis.
authors.affiliation: Department of Obstetrics and Gynecology, University of Cologne School of Medicine, Cologne, Germany.
authors.forename: K
authors.initials: K
authors.lastname: Rhiem
authors.forename: M
authors.initials: M
authors.lastname: Possover
authors.forename: A
authors.initials: A
authors.lastname: Gossmann
authors.forename: K
authors.initials: K
authors.lastname: Drebber
authors.forename: P
authors.initials: P
authors.lastname: Mallmann
authors.forename: U
authors.initials: U
authors.lastname: Ulrich
mesh_terms: D000328:Adult; D018288:Carcinoma, Small Cell / Q000175:diagnosis* / Q000188:drug therapy / Q000556:secondary*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D035583:Rare Diseases; D012878:Skin Neoplasms / Q000556:secondary; D012886:Skull / Q000473:pathology; D013933:Thumb / Q000473:pathology; D002583:Uterine Cervical Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000628:therapy*