title: Isolated jejunal metastasis in a patient with cervical cancer: A case report.
abstract: BACKGROUND
  In approximately 8% of cervical carcinoma patients, gastrointestinal tract is involved, most commonly the rectosigmoid portion, because of local extension. Isolated metastases to small bowel are exceedingly rare.
  
  
  METHODS
  We present a case of a 63-year-old woman with cervical cancer who developed isolated jejunal metastasis 8 months after postoperative chemoradiotherapy. The patient was alive with no evidence of disease 6 months after resection of metastasis. Very few cases have been reported concerning squamous cell carcinoma of the cervix with documented metastases to the small bowel. There is only one published case report of cervical cancer with multiple metastases to the small intestine and jejunum. To our knowledge, this is the first case of cervical cancer with isolated jejunal metastasis, which was initially demonstrated with positron emission tomography and confirmed histopathologically.
  
  
  CONCLUSIONS
  Although the exact mechanism underlying the isolated metastasis is unknown, hematogenous spread or tumor seeding during surgery may play a role.
authors.affiliation: Department of Radiation Oncology, Baskent University, Faculty of Medicine, Adana, Turkey.
authors.forename: Cem
authors.initials: C
authors.lastname: Onal
authors.affiliation: Department of Nuclear Medicine, Baskent University, Faculty of Medicine, Ankara, Turkey.
authors.forename: Gul Nihal
authors.initials: GN
authors.lastname: Nursal
authors.affiliation: Department of General Surgery, Baskent University, Faculty of Medicine, Ankara, Turkey.
authors.forename: Nurkan
authors.initials: N
authors.lastname: Torer
authors.affiliation: Department of Pathology, Baskent University, Faculty of Medicine, Adana, Turkey.
authors.forename: Fazilet
authors.initials: F
authors.lastname: Kayaselcuk
keywords: Cervical cancer; Gynecological cancer; Metastasis; Small intestine