Metastatic Squamous Cell Carcinoma of the Cervix Presenting as Polycystic Lesions of the Liver: A case Report

Abstract

          The cervical cancer is common among Thai females and in its advanced stage,it is more commonly found as the local infiltration into the surrounding organs than as the distant multiple metastases via the blood stream. The isolated liver metastasis from the cervical cancer has been rarely reported especially the multiple cystic lesions due to the squamous cell carcinoma as in our patient. She was 56-year-old Thai woman who presented with mild right upper quadrant pain and low graded fever for a month. The computerized tomography of the abdomen showed multiple cysts with solid part and peripheral enhancement at the segments 6, 7, 8 of the liver, the largest one was 5x6 cm in size. Eight months ago, she was pathologically proved to have the squamous cell carcinoma of the cervix, moderate differentiation, stage IIIB. And she was medically treated with cis-platin followed by BCT until complete remission was achieved in 4 months. But her liver biopsy specimen yielded by the ultrasonography guidance was pathologically proved to bethe squamous cell carcinoma, the presumably primary site was the cervix. She was again treated with cis-platin with higher dosage. In general, the liver metastasis is always solid, the multiple cystic lesions in the liver in the combination with fever may remind the clinicians of the bacterial liver abscess or metastatic adenocarcinoma from the colon or ovary. Only the pathology of the tissue biopsy is able to clearly differentiate the definite diagnosis of theseentities.