Tumor to Tumor Metastasis: A Case Report

Colon carcinoma spreads locally around the intestine wall and can undergo distant metastasis via the hematogenous or lymphatic spread. It rarely metastasizes to the female genital tract and is not fully reported to involve a uterine leiomyoma. Herein we report such an unusual case of a 27 years fema...

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Bibliographic Details
Published inJNMA; journal of the Nepal Medical Association Vol. 59; no. 234; pp. 204 - 206
Main Authors Karki, Diksha, Adhikari, Purbesh, Shrestha, Dipti, Kafle, Anil
Format Journal Article
LanguageEnglish
Published Nepal Journal of the Nepal Medical Association 28.02.2021
Nepal Medical Association
Subjects
Adenocarcinoma - surgery
adenocarcinoma; case report; metastasis; uterine leiomyoma
Adult
Case Report
Female
Humans
Laparotomy
Leiomyoma - surgery
Sigmoid Neoplasms - surgery
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ISSN0028-2715
1815-672X
DOI10.31729/jnma.5699

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Summary:Colon carcinoma spreads locally around the intestine wall and can undergo distant metastasis via the hematogenous or lymphatic spread. It rarely metastasizes to the female genital tract and is not fully reported to involve a uterine leiomyoma. Herein we report such an unusual case of a 27 years female a known case of sigmoid colon adenocarcinoma who presented with abdominal pain with bilateral adnexal mass and per vaginal bleeding. Exploratory laparotomy with bilateral resection of ovaries with subsequent polypectomy was done, which on histopathology, it revealed metastatic adenocarcinoma in bilateral ovaries and submucosal leiomyoma. Hence, a lesion with dimorphic histomorphology should be carefully evaluated to rule out the possibility of malignant-to-benign tumor-to-tumor metastasis.
ISSN:0028-2715
1815-672X
DOI:10.31729/jnma.5699