METASTASIS FROM A STAGE IB CERVICAL ADENOCARCINOMA IN A TRANSPOSED OVARY - A CASE-REPORT AND REVIEW OF THE LITERATURE

Adenocarcinoma originating in the endocervix may remain occult for man y years. This may result in an extension to the uterine isthmus and co rpus, with subsequent dissemination along the pathways of spread of ut erine carcinoma, including metastasis to the ovaries. The patient desc ribed in this report had a bulky stage Ib cervical adenocarcinoma with metastasis in a transposed ovary. The metastasis was noted 6 months f ollowing postoperative external pelvic irradiation. The sequence of ev ents strongly suggests that microscopic ovarian disease was present at the time of the original surgery. Other cases have been reported; how ever, the exact incidence is difficult to determine. The current liter ature on this subject is reviewed and recommendations are made for eva luation and treatment. (C) 1994 Academic Press, Inc.