A rare gastric and peritoneal metastasis of cervical squamous cell carcinoma-an unusual breach and homing

Radhika S.; Rajkumar Ramasamy; Ilayaraja C.; Vishnupriya M.; Deepak James; Nidhi Garg

doi:10.18203/2320-6012.ijrms20253991

Authors

Radhika S. Department of Pathology, Velammal Medical College and Research Institute, Madurai, Tamil Nadu, India
Rajkumar Ramasamy Department of Medical Oncology, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, India
Ilayaraja C. Department. of Radiodiagnosis, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, India
Vishnupriya M. Department of Pathology, Velammal Medical College and Research Institute, Madurai, Tamil Nadu, India
Deepak James Department of Pathology, Velammal Medical College and Research Institute, Madurai, Tamil Nadu, India
Nidhi Garg Mumbai Reference lab, Agilus Diagnostics ltd. Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20253991

Keywords:

Squamous cell, HPV, Gastric, Metastasis, Peritoneum

Abstract

Gastric metastasis is rare with a reported incidence of less than 1% with only a very few case reports in the literature to date. Gastric metastasis most commonly arises from malignant melanoma. We present a case of a 58-year-old female, a case of metastatic poorly differentiated squamous cell carcinoma of cervix. Radiology showed a circumferential asymmetric enhancing wall thickening in antrum of stomach and peritoneal carcinomatosis. Endoscopy showed circumferential thickening in proximal antrum, biopsy of stomach and peritoneum showed carcinoma-possibly poorly differentiated squamous cell carcinoma which on immunohistochemistry (IHC) was confirmed to be HPV associated poorly differentiated squamous cell carcinoma. The patient was started on palliative chemotherapy and is on follow-up.

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Author Biographies

Rajkumar Ramasamy, Department of Medical Oncology, Velammal Medical College Hospital and Research Institute, Madurai, Tamil Nadu, India

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Vishnupriya M., Department of Pathology, Velammal Medical College and Research Institute, Madurai, Tamil Nadu, India

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