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Case report: cervical epidermoid carcinoma with pericardial effusion as the first manifestation of distant metastatic disease


Obstetrics & Gynecology International Journal
Ketheryn Adna Souza de Almeida,1 Fernanda Alonso Rodrigues Fleming,1 Vando de Souza Ju?nior,2 Felipe Lins Trigueiro Mendes,3 Adriano Eduardo Costa de Figueiredo,3 Gilberto Augusto Gonçalves Júnior4

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Abstract

Cervical cancer occupies the seventh place in the world ranking, being the third in incidence and fourth in mortality in the female population. Metastatic disease can develop in 15 to 61% of women. Case report: A 41-year-old female patient with cervical squamous cell carcinoma, clinical stage IIB, treated with concomitant radiotherapy and chemotherapy supplemented with brachytherapy. It develops with progressive dyspnea during outpatient oncologic control and during clinical investigation, observed without tamponade pericardial effusion as an initial manifestation of mediastinal metastasis by cervical cancer, although there are no signs of locoregional disease. The videolaparoscopic pericardial window was submitted to drainage of pericardial effusion without complications. Conclusion: The aim of this study is to highlight the importance of suggesting a possible diagnostic suspicion of distant metastasis in cervical cancer even in the absence of locoregional disease.

Keywords

metastatic tumor, squamous cell carcinoma, cervix, pericardial effusion

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