LIVER METASTASIS FROM CERVICAL CANCER PRESENTING AS A SOLITARY CYSTIC LESION  A RARE PRESENTATION

Dr; Puja Iyengar Ambrish; Dr. Reeta Dhar; Dr. D. B Borkar; Dr. Prabhakar Patro; Dr. Ajay Wani; Dr. Shonit Agarwal

Volume : V, Issue : VI, June - 2016

LIVER METASTASIS FROM CERVICAL CANCER PRESENTING AS A SOLITARY CYSTIC LESION A RARE PRESENTATION

Dr, Puja Iyengar Ambrish, Dr. Reeta Dhar, Dr. D. B Borkar, Dr. Prabhakar Patro, Dr. Ajay Wani, Dr. Shonit Agarwal

Abstract :

 Metastatic tumors are the most common malignant tumors in the liver (98%).The incidence of liver metastasis in cervical carcinoma is uncommon with a reported incidence of 2.2%. The incidence of isolated liver metastasis without involvement of other sites is still rare in cervical cancer with an incidence of 0.3%.Grossly, the vast majority of metastatic tumors are multiple masses of varying sizes and are present in both liver lobes.Areas of necrosis present within the tumor may cause a cystic appearance on imaging. A 45 year old female came with complaints of swelling in the epigastric region.Patient had history of cervical cancer 5years back, was operated and had taken chemotherapy.Provisional diagnosis of parasitic cyst was given. Microscopy revealed features consistent with diagnosis of metastatic squamous cell carcinoma.Immunohistochemistry was diffusely positive for CK 5 and CK 6 as well as focally positive for CK 19,thus confirming its origin from the cervical cells.