Open AccessTumor to Tumor Metastasis: A Case Report
Author(s) -
Diksha Karki,
Purbesh Adhikari,
Dibas Shrestha,
Anil Kafle
Publication year - 2021
Publication title -
journal of nepal medical association
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.176
H-Index - 19
eISSN - 1815-672X
pISSN - 0028-2715
DOI - 10.31729/jnma.5699
Subject(s) - medicine , metastasis , histopathology , exploratory laparotomy , polypectomy , adenocarcinoma , sigmoid colon , laparotomy , leiomyoma , lesion , pathology , radiology , rectum , colorectal cancer , surgery , colonoscopy , cancer
Colon carcinoma spreads locally around the intestine wall and can undergo distant metastasis via the hematogenous or lymphatic spread. It rarely metastasizes to the female genital tract and is not fully reported to involve a uterine leiomyoma. Herein we report such an unusual case of a 27 years female a known case of sigmoid colon adenocarcinoma who presented with abdominal pain with bilateral adnexal mass and per vaginal bleeding. Exploratory laparotomy with bilateral resection of ovaries with subsequent polypectomy was done, which on histopathology, it revealed metastatic adenocarcinoma in bilateral ovaries and submucosal leiomyoma. Hence, a lesion with dimorphic histomorphology should be carefully evaluated to rule out the possibility of malignant-to-benign tumor-to-tumor metastasis.