title: [A metastatic rectal carcinoma originating from the uterine cervix].
abstract: A 40-year-old woman underwent radical hysterectomy and postoperative radiotherapy for uterine cervical squamous cell carcinoma (SCC) 6 years previously. She was referred to our department for the treatment of a rectal lesion located in the posterior wall approximately 8 cm from the anal verge. She underwent low anterior resection because the lesion was diagnosed as SCC by preoperative endoscopic biopsy. Pathological examination of the resected lesion demonstrated a 3 × 3-cm solid tumor expanding mainly in the muscularis propria layer and infiltrating the mucosal layer without lymph node involvement. Moreover, it was diagnosed as metastatic SCC from the uterine cervical tumor. No recurrence has been detected over 5 years after resection. The prognosis of SCC of the rectum without lymph node metastasis has been considered similar to that of node-negative adenocarcinoma of the rectum. Thus, if there is no distant metastasis and/or peritoneal dissemination, aggressive surgical resection should be performed to ensure a good prognosis.
authors.affiliation: Department of Surgery, Kashiwa Hospital, The Jikei University School of Medicine.
authors.forename: Muneharu
authors.initials: M
authors.lastname: Fujisaki
authors.forename: Hidejiro
authors.initials: H
authors.lastname: Kawahara
authors.forename: Yohichi
authors.initials: Y
authors.lastname: Toyama
authors.forename: Satoru
authors.initials: S
authors.lastname: Yanagisawa
authors.forename: Susumu
authors.initials: S
authors.lastname: Kobayashi
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Kanetsuna
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Yanaga
mesh_terms: D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000473:pathology*; D005260:Female; D006801:Humans; D011379:Prognosis; D012004:Rectal Neoplasms / Q000473:pathology / Q000556:secondary*; D002583:Uterine Cervical Neoplasms / Q000473:pathology*