Bone metastasis arising from a polyp of the cervix as the first symptom in generalized multi-organ adenocarcinoma.
Our patient was a 40-year-old female with a positive familial history for malignancies but no chronic diseases. After two vaginal deliveries without any reported difficulties, the patient had no intermenstrual bleeding, postcoital bleeding, leucorrhea or hypermenorrhea, abnormal vaginal bleeding, or postmenstrual bleeding, except during the past five-year period when a polyp-like change in the cervix was found. There was no indication for polypectomy, considering the fact that the patient had no symptoms, had an iodine positive Schiller test, as well as regular cytological smears on Papanicolaou testing. It is noteworthy that the patient had no symptoms until changes in the stool and painful sensation in the hip area. The patient was subjected to extensive surgery by a team composed of a gynecologist, surgeon and orthopedist. During Werthaim-Meigs surgery, four positive glandules and cervical adenocarcinoma Stage II were found. The colon was removed, as a right hemicolectomy, as well as the iliac bone upper segment. Unfortunately, considering the changes in the tissue of the colon and cervix, we considered the condition to be "generalized" adenocarcinoma.
Institute of Surgery, Clinical Center of Serbia, University of Belgrade, Serbia.
V
V
Dugalic
M
M
Gojnic
M
M
Brankovic
I
I
Stojanovic
F
F
Ser
V
V
Zizic
D000230:Adenocarcinoma / Q000556:secondary*; D000328:Adult; D001859:Bone Neoplasms / Q000556:secondary*; D005260:Female; D006801:Humans; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis* / Q000473:pathology*; D002583:Uterine Cervical Neoplasms / Q000473:pathology*