Cervix
Carcinoma
Metastases

Authors: Branko Perunovic, M.D, Marilin Rosa, M.D. (see Authors page)

Revised: 26 October 2017, last major update May 2007

Copyright: (c) 2007-2017, PathologyOutlines.com, Inc.

PubMed Search: "metastatic to" cervix

Cite this page: Metastases. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/cervixmets.html. Accessed December 16th, 2017.
Definition / general
  • Extragenital tumors more commonly metastasize to ovary and vagina than cervix
  • Usually from ovary, breast, colon (Arch Pathol Lab Med 2003;127:1586), stomach, kidney; evidence of widespread disease is usually present
  • Direct extension from endometrial primary tumor is also common (particularly poorly differentiated adenocarcinoma)
  • Often involves cervical stroma and NOT surface epithelium or endocervical glands
  • Rarely due to metastatic mucinous carcinoma of appendix
Case reports
Microscopic (histologic) description
  • Usually no in situ component
  • Extensive angiolymphatic invasion is present, even in small and superficial lesions
Microscopic (histologic) images

Images hosted on PathOut server:

Breast carcinoma metastatic to cervix (AFIP)


Case of week #125 (metastatic lobular carcinoma to endometrial polyp):

Various images


ER

PR

GCDFP-15

Cytology description
  • Yield for positive Pap smear diagnoses in extrauterine malignancies is best in patients with an established diagnosis (Acta Cytol 1999;43:806)
Cytology images

Images hosted on PathOut server:

Ovarian clear cell carcinoma with
psammoma body
(contributed by Dr. Carmen Luz, Spain)

Immunohistochemistry
  • Immunohistochemistry panels will vary according to site of origin
  • Clinical history important when selecting panels of immunostains