Palmar cutaneous metastasis from carcinoma cervix.

Area of Science:

• Oncology
• Dermatology
• Gynecologic Oncology

Background:

• Carcinoma of the uterine cervix is a prevalent gynecological malignancy, particularly in developing nations.
• Cutaneous metastasis from cervical cancer is an exceptionally rare complication, with an incidence reported between 0.1% and 2%.

Observation:

• This case study focuses on a 74-year-old postmenopausal woman diagnosed with stage IIIB cervical cancer.
• Ten months post-radiotherapy, the patient presented with isolated cutaneous nodules on her left palm and thigh, despite complete resolution of the primary tumor.

Findings:

• Histopathological examination, including fine needle aspiration cytology and core needle biopsy, confirmed squamous cell carcinoma in both the palmar and thigh lesions.
• This represents one of the few documented instances of cutaneous metastasis to the upper extremity (palm) and a rare occurrence on the thigh.

Implications:

• This case highlights the importance of considering rare metastatic patterns in patients with a history of cervical cancer, even after successful primary treatment.
• The findings underscore the need for thorough dermatological evaluation in patients presenting with new skin lesions, regardless of their location, to ensure timely diagnosis and management of metastatic disease.