J Gynecol Oncol.  2009 Jun;20(2):129-131. 10.3802/jgo.2009.20.2.129.

Metastatic carcinoma of cervix mimicking psoas abscess on imaging: a case report

• Kalra N
• Aiyappan S
• Nijhawan R
• Sharma SC
• Khandelwal N

• KMID: 2245098
• DOI: http://doi.org/10.3802/jgo.2009.20.2.129

Abstract

Cervical cancer can be presented as an unusual and aggressive manner in human immunodeficiency virus (HIV)-positive women. There are case reports of psoas abscess which mimick metastasis from cervical carcinoma in HIV-positive patients. However, such cases are very rare in HIV-negative women with only few case reports available in the literature. We report one case of psoas abscess mimicking metastasis in a HIV-negative woman, which was initially diagnosed as spinal tuberculosis.

Keyword

Cervical cancer; Psoas abscess; Metastasis

MeSH Terms

Cervix Uteri
Female
HIV
Humans
Neoplasm Metastasis
Psoas Abscess
Tuberculosis, Spinal
Uterine Cervical Neoplasms

Figure

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  Fig. 1 CT image. Well-defined hypo-dense lesion in the right psoas muscle (arrow) with peripheral enhancement (3×2.8×3.2 cm).

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  Fig. 2 MRI. (A) Right psoas abscess, (B) osteolytic lesions involving the L2 and L3 vertebrae with cortical destruction.

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  Fig. 3 Cytological examination showing presence of metastatic squamous cell carcinoma (arrow).

Reference

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