Cervical metastasis in breast cancer: A case report

The present case report describes the case of a 48-year-old woman with a history of invasive lobular carcinoma of the breast who developed cervical metastasis, initially presenting without any gynecological symptoms. Cervical lesions were identified through PET-CT imaging and the diagnosis of metastatic disease was confirmed by cervical biopsy. Abnormal vaginal bleeding is a common initial symptom of cervical metastasis, but some patients may present without any gynecological symptoms, potentially leading to delayed diagnosis of metastatic lesions. Hysteroscopy and cervical exfoliative cytology have low positive rates for diagnosing cervical metastasis and often require cervical biopsy or surgery to confirm the diagnosis. Management strategies for cervical metastasis remain largely individualized; however, surgical intervention may improve prognoses in patients in whom the cervix is the sole site of metastasis. The present case report emphasizes the need for heightened clinical vigilance in the evaluation of patients with a history of breast cancer who present with atypical or subtle findings.