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Updated: Aug 15, 2026
Tubal Cytology of the Fallopian Tube as a Promising Tool for Ovarian Cancer Early Detection
Published on: July 25, 2017
Recurrent colorectal carcinoma detected by routine cervicovaginal papanicolaou smear testing
Alex J Childs1, James J Burke, Michelle Y Perry
1Mercer University School of Medicine and Memorial Health University Medical Center, Department of Obstetrics and Gynecology, Savannah, GA 31404, USA. alex_j_childs@yahoo.com
Background:
We present a case of recurrent colon cancer detected by routine, annual Papanicolaou screening.
Case:
A 59-year-old African American woman who had been treated for T2N0M0 (stage II, Dukes A) colon cancer 2 years before to presentation had a Pap smear showing a high-grade squamous intraepithelial lesion with a normal cervical biopsy result. Because of this discrepancy, a loop electrosurgical excision procedure and endocervical curettage were performed and showed atypical glandular cells suspicious for adenocarcinoma. Subsequent colonoscopy showed recurrent adenocarcinoma of the colon. The patient underwent an en-block total abdominal hysterectomy and anterior-perineal resection showing invasion of recurrent colon cancer into the uterus and cervix.
Conclusion:
In patients with a history of extrauterine adenocarcinoma, abnormal Pap screening may indicate recurrent or metastatic carcinoma.
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