Abstract
Background
Colorectal cancer is among the three most prevalent types of cancer worldwide, with the second highest mortality rate. Metastasis frequently occurs in the liver, followed by the lungs, peritoneum, and lymph nodes. There are few reported cases of cervical and vaginal metastasis in colorectal cancer. We report a patient with concurrent cervical and vaginal metastasis of colorectal cancer.
Case presentation:
The patient came to our hospital with vaginal bleeding as the main complaint. It was found that the patient had malignant lesions in the cervix and vagina, which were discontinuous. After a series of examinations, the patient underwent radical cervical and vaginal resection surgery. The pathological result of the patient is adenocarcinoma with a history of ascending colon cancer. Combined with immunohistochemical results, it is determined that the cervical and vaginal lesions of the patient are metastatic from ascending colon cancer.
Conclusion
If patients with colorectal cancer experience symptoms such as vaginal bleeding during postoperative follow-up, even if cervical or vaginal metastasis is rare, we cannot ignore this possibility. After completing relevant examinations and clarifying the diagnosis, if the patient does not experience extensive hematogenous metastasis, radical cervical and vaginal resection surgery still has a certain significance. Postoperative systemic treatment is supplemented to achieve long-term survival.