Metastatic Mons Pubis Soft Tissue Mass

Area of Science:

• Oncology
• Dermatology
• Gynecologic Oncology

Background:

• Cutaneous metastases from solid malignancies are infrequent, posing diagnostic challenges.
• Endometrial adenocarcinoma is a common gynecologic malignancy, typically treated with hysterectomy and salpingo-oophorectomy.

Observation:

• A 61-year-old woman presented with a novel mass on her mons pubis.
• This occurred two years after undergoing a total abdominal hysterectomy with bilateral salpingo-oophorectomy for endometrial adenocarcinoma.

Findings:

• Histopathological examination revealed the mons pubis mass to be an adenocarcinoma.
• The tumor morphology strongly suggested a gynecologic origin, consistent with recurrence.

Implications:

• This case underscores the importance of considering uncommon metastatic patterns in cancer survivors.
• It highlights the need for thorough evaluation of new lesions in patients with a history of gynecologic malignancies.
• Early recognition of cutaneous spread can potentially influence management strategies and patient outcomes.