[A Case of Laparoscopic Lateral Segmentectomy for Metachronous Liver Metastasis from Cervical Cancer]

A 61-year-old female patient was diagnosed with stage ⅡB squamous cell carcinoma of the uterine cervix. She underwent chemoradiotherapy, which included whole pelvic irradiation(50 Gy), intracavitary irradiation(24 Gy), and 6 cycles of nedaplatin therapy at the gynecology department. After chemoradiotherapy, a biopsy of the uterine cervix was performed, and pathological examination showed evidence of remission. Six months later, a CT scan and MRI scan revealed a 23 mm mass in the S3 region of the liver, which was diagnosed as a solitary, metachronous liver metastasis. The patient was referred to our department for surgery and underwent laparoscopic hepatic lateral segmentectomy. Pathological findings confirmed that the metastasis was from squamous cell carcinoma of the uterine cervix. Postoperatively, the patient was followed up without chemotherapy. However, 3 months after surgery, a CT scan revealed multiple liver metastases and lymph node metastases. The patient is currently receiving chemotherapy at another hospital. While liver metastasis in cervical cancer is not uncommon, isolated, metachronous liver metastasis is rare. Including our case, there have been only 8 such reports in Japan, making this a rare case.