J Gynecol Oncol.  2010 Sep;21(3):196-198. 10.3802/jgo.2010.21.3.196.

Skeletal muscle metastasis from carcinoma cervix: a case report

• Karunanithi G
• Sethi P
• Reddy KS
• Rani PR

• KMID: 1980858
• DOI: http://doi.org/10.3802/jgo.2010.21.3.196

Abstract

Cervical cancer is the most common malignancy in Indian women. Cervical cancer usually spread by local extension and through the lymphatics to the retroperitoneal lymph nodes. Direct invasion of muscles by primary growth is more common than by metastatic involvement. We present a case of carcinoma of the cervix post radiotherapy to pelvis who on follow up presented with biceps muscle metastases as the initial sign of disseminated disease.

Keyword

Carcinoma cervix; Muscle metastases; Biceps; Radiotherapy

MeSH Terms

Cervix Uteri
Female
Follow-Up Studies
Humans
Lymph Nodes
Muscle, Skeletal
Muscles
Neoplasm Metastasis
Pelvis
Uterine Cervical Neoplasms

Figure

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  Fig. 1 (A) CECT thorax ill defined nodular opacities noted in bilateral lung parenchyma with the largest measuring 1.2×1 cm. (B) CECT left arm-ill defined 3.4×3.1 cm hypodense lesion in left biceps muscle. (C) Cluster of squamous cell carcinoma cells in a blood mixed fluid background, indicative of cystic change (H&E, ×10). (D) Cluster of keratinizing squamous cell carcinoma cells in a blood mixed fluid background (H&E, ×40).

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  Fig. 2 (A) Carcinoma cervix patient with metastases to biceps muscle. (B) Clinical picture of left arm showing good response to palliative radiotherapy.

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