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Table 1 Small Bowel Metastases from Squamous Cell Carcinoma of the Cervix as Reported in the Literature (PubMed and Medline available since 1981) - search terms: "squamous cell carcinoma" AND "cervix"/"carcinoma cervix" with "duodenum", "jejunum", "ileum", "small bowel" and/or "small intestine"

From: A review of duodenal metastases from squamous cell carcinoma of the cervix presenting as an upper gastrointestinal bleed

Ref #

Authors

Age

Stage of SCC of cervix at diagnosis

Presenting Symptoms

Site of Metastasis

Confirmation of Diagnosis

Time interval to metastases

Treatment

Outcome

3

Gurian, 1981

64

IIIb

Hematocrit 15% (occult bleeding)

1st part duodenum (gastric outlet)

Biopsy of duodenal lesion

Synchronous metastases

Refused surgical intervention

Death

4

Misonou, 1988

69

Ia

Small intestinal perforation with panperitonitis

Multiple mets to the small intestine -Jejunum

Jejunal resection -histopathology

13 years

Laparotomy

Death

5

Christopherson 1985

42

IIIb

1 month h/o intermittent nausea and vomiting, upper abdominal pain (small bowel obstruction)

Single mass-stomach, ileum, omentum, transverse colon

Histopathology of resected 10 × 10 cm mass

2 years

Laparotomy, chemotherapy

Recovery

6

Hulecki, 1985

48

Ib

Gross hematuria from the conduit

Ileal conduit

Biopsy of 1 × 1 cm mass about 10 cms from the stoma

7 years

Laparotomy

Recovery

7

Mathur, 1984

35

NR

Abdominal Pain, persistent vomiting, constipation, (isolated stricture ileum)

Ileum 5 cm proximal to ileo-caecal junction

Histopathology of Rt.Hemicolectomy

Synchronous metastases

Right Hemicolectomy

Recovery

8

Lee, 2011

50

IIa

Epigastric pain

2nd part duodenum

Multiple biopsies Ampulla of Vater

2 years

Chemotherapy

NR

9

Ewing, 1981*

61

IIa

Nausea, vomiting, abdominal distension, 50 lb weight loss

Paraaortic LN causing high level duodenal obstruction

Histopathology of paraaortic node

9 years

Laparotomy with bypass surgery

Died 12 weeks post-op

 

Kanthan 2011

49

IIa

Upper gastrointestinal bleeding

2 nd part of duodenum

Biopsy of duodenal lesion

2 years

Died within 48 hours of admission

  1. NR -Not reported
  2. NA-Not available