A Rare Presentation of Locally Advanced Squamous Cell Carcinoma Cervix with Cutaneous Metastasis: A Case Study

Background: Cervical cancer is a major public health problem in developing countries. Cutaneous metastasis in cervical carcinoma is very rare accounting for only 0.1-2 %, mostly associated with adenocarcinoma. Here is a rare presentation of squamous cell carcinoma of cervix with cutaneous metastasis. Case Report: 60 year old multipara female, diagnosed with Squamous cell carcinoma Cervix Stage IIIC from pathology and radiological examinations underwent extended field 3DCRT with concurrent Cisplatin. During reassessment for brachytherapy patient complained of right shoulder pain, on examination was found to be a hard cutaneous mass, excision biopsy reporting metastatic carcinoma. Patient was put on palliative chemotherapy. Within 1 month multiple papulo-nodular erythematous lesion erupted on the back and lower abdominal wall. PET CT done 2 months after diagnosis of metastatic disease revealed local progression. The patient deteriorated severely within the next month to ECOG PFS 3 and was put on palliative care. Conclusion: Cutaneous metastasis in cervical carcinoma leads to very poor prognosis, so complain of a cutaneous lesion in a diagnosed cervical cancer patient should warrant immediate attention towards pathological diagnosis. Nuclear scans like PET CT may not be helpful in diagnosis of such lesions so stress should be put on clinical examinations and pathological diagnosis.