Abstract
ALTHOUGH metastatic tumors to the uterine cervix from extrapelvic sites are rare, their importance lies in the fact that they may be mistaken for primary cervical cancer.1 The local symptoms and signs—vaginal bleeding, vaginal discharge, and later, pain in the pelvis and lower abdomen—are identical with those of primary cervical carcinomas. In a review of the literature in 1941, Charache2 found 56 reported examples of metastatic cervical cancer and described three additional patients whom he had observed. Thirty-four of these 59 examples were found to have originated from the breast, 14 from the stomach, 3 from the lung, 2 from the kidney, 1 each from the pleura, the ovary, the pancreas, the liver, and the gallbladder, and 1 from melanocarcinoma. Several additional examples of such metastases were reported thereafter, including one of metastatic adenocarcinoma of the cervix from a gastric cancer, reported by Williams3 in 1945; one