Breast cancer metastatic to the uterine cervix: Analysis of a rare event

A patient with cervical metastases leading to the diagnosis of a. primary b reast cancer is presented To better define the frequency, symptoms, and cha racteristics of breast cancer metastasizing to the uterine cervix, all case s reported in rite literature since 1950 are reviewed. This analysis reveal s that in 21% of these cases, metastases were found before or at the same t ime as the primary tumor. The most common presenting symptom was abnormal v aginal bleeding (57%), but in 32% of the patients, no clinical sign was pre sent. Because 41% of the reported cases were found only at autopsy, the cha racteristics of this kind of metastatic breast cancer, effectiveness of dia gnostic procedures, and treatment options are critically discussed.