Gastric carcinoma diagnosed incidentally on cervical biopsy in a young female

Authors

  • Mahendra Kumar Assistant Professor Department Of Pathology North Eastern Indra Gandhi Regional Institute of Health and Medical Sciences Shillong, Meghalaya India
  • Naushad Shah Department Of Pathology North Eastern Indra Gandhi Regional Institute of Health and Medical Sciences Shillong, Meghalaya
  • Jaya Mishra Department of Pathology North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences
  • Ritesh Kumar Department of Radiotherapy North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences
  • Subrat Panda Department of Obstetrics & Gynecology , North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences,

Keywords:

Carcinoma of cervix, Krukenberg tumor, Signet ring cells, Gastric malignancy

Abstract

Gastric carcinoma usually metastasizes to liver, peritoneum, lymphnodes, ovary, lung and brain. But gastric malignancy metastasizing to cervix is extremely rare and even rarest in young patients. Reaching to the primary site of hidden gastric malignancy on a cervical biopsy was very interesting in present case. Distinction of primary cervical malignancy to metastasis is very important for clinical and pathological point of view which helps in the diagnosis, staging, treatment and prognosis of the patient. Here we are documenting a case of gastric malignancy which presented as cervical mass and bilateral ovarian enlargement in a 22 years old female.

Author Biographies

Mahendra Kumar, Assistant Professor Department Of Pathology North Eastern Indra Gandhi Regional Institute of Health and Medical Sciences Shillong, Meghalaya India

Assistant Professor
Department Of Pathology

Naushad Shah, Department Of Pathology North Eastern Indra Gandhi Regional Institute of Health and Medical Sciences Shillong, Meghalaya

Department of Pathology

Junior Resident

Jaya Mishra, Department of Pathology North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences

Associate Professor

Department of Pathology

Ritesh Kumar, Department of Radiotherapy North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences

assistant Professor

Department of Radiotherapy

Subrat Panda, Department of Obstetrics & Gynecology , North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences,

Associate Professor

Department of Obstetrics & Gynecology

References

1. Imachi M, Tsukamoto N, Amagase H, Shigematsu T, Amada S, Nakano H. Metastatic adenocarcinoma to the uterine cervix from gastric cancer. A clinicopathologic analysis of 16 cases. Cancer 1993;71:3472-7.

2. Lee P, Paek J, Nam EJ, Kim Y T, Kim SW. A case of stomach cancer metastatic to the uterine cervix. Journal of Womens Medicine, 2011; 4(1): 23-26.

3. Perez‐Montiel D, Serrano‐Olvera A, Salazar LC, Cetina‐Pérez L, Candelaria M, Coronel J, Cantu de Leon D. Adenocarcinoma metastatic to the uterine cervix: A case series. Journal of Obstetrics and Gynaecology Research, 2012; 38(3): 541-549.

4. McCluggage WG, Hurrell DP, Kennedy K. Metastatic carcinomas in the cervix mimicking primary cervical adenocarcinoma and adenocarcinoma in situ: report of a series of cases. The American journal of surgical pathology, 2010;34(5):735-741.

5. Kumar NB, Hart WR. Metastases to the uterine corpus from extragenital cancers. A clinicopathologic study of 63 cases. Cancer 1982;50:2163-9.

6. Young R: From krukenberg to today: the ever present problems posed by metastatic tumors in the ovary: part I. Historical perspective, general principles, mucinous tumors including the krukenberg tumor. Adv Anat Pathol 2006, 13:205–227.

7. Jiang R, Tang J, Cheng X, Zang RY. Surgical treatment for patients with different origins of Krukenberg tumors: outcomes and prognostic factors. Eur J Surg Oncol 2009; 35: 92-97.

8. Ng AB, Teeple D, Linder EA, Reagan JW. The cellular manifestations of extrauterine cancer. Acta Cytol 1974; 18: 108–117.

9. Esposito JM, Zarou DM, Zarou GS. Extragenital adenocarcinoma metastatic to the cervix uteri: a diagnostic problem. Am J Obstet Gynecol 1965; 92: 792–795.

10. Yada-Hashimoto N, Yamamoto T, Kamiura S, Seino H, Ohira H, Sawai K, Saji F. Metastatic ovarian tumors: a review of 64 cases.Gynecologic oncology.2003;89(2):314-317.

11. Woodruff JD, Novak ER. The Krukenberg tumor: study of 48 cases from the ovarian tumor registry. Obstet Gynecol 1960;15:351–60.

12. Soloway I, Latour JPA, Young MHV. Krukenberg tumors of the ovary. Obstet Gynecol 1956;8:636–8.

13. Yakushiji M, Tazaki T, Nishimura H, Kato T. Krukenberg tumors of the ovary: a clinicopathologic analysis of 112 cases. Acta Obstet Gynaecol Jpn 1987;39:479–85.

14. Hale RW. Krukenberg tumor of the ovaries: a review of 81 records. Obstet Gynecol 1968;32:221–5.

15. Kiyokawa T, Young RH, Scully RE. Krukenberg tumors of the ovary: a clinicopathologic analysis of 120 cases with emphasis on their variable pathologic manifestations.The American journal of surgical pathology.2006;30(3):277-299.

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Published

31-10-2015

How to Cite

1.
Kumar M, Shah N, Mishra J, Kumar R, Panda S. Gastric carcinoma diagnosed incidentally on cervical biopsy in a young female. Ann of Pathol and Lab Med [Internet]. 2015 Oct. 31 [cited 2024 Nov. 7];2(4):C208-212. Available from: https://pacificejournals.com/journal/index.php/apalm/article/view/apalm324

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Section

Case Report