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Genital Metastases
Douglas Rogers, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Secondary malignancy of uterus, cervix, or vagina

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Bouvier AS et al: Uterine metastasis from invasive ductal breast carcinoma: a case report with literature review. J Gynecol Obstet Hum Reprod. 50(1):101993, 2021
                                      2. Zhu XD et al: An isolated vaginal metastasis from intestinal signet ring cell carcinoma: a case report and literature review. BMC Cancer. 20(1):478, 2020
                                      3. Franco-Márquez R et al: Metastasis of breast lobular carcinoma to endometrium presenting as recurrent abnormal uterine bleeding: a case report and review of literature. Case Rep Pathol. 2019:5357194, 2019
                                      4. Rahmani M et al: Endometrial metastasis from ductal breast carcinoma: a case report with literature review. Am J Case Rep. 19:494-9, 2018
                                      5. Shibata M et al: Uterine metastasis of lung adenocarcinoma under molecular target therapy with epidermal growth factor receptor tyrosine kinase inhibitors: a case report and review of the literature. J Obstet Gynaecol Res. 44(2):352-8, 2018
                                      6. Sadatomo A et al: An isolated vaginal metastasis from rectal cancer. Ann Med Surg (Lond). 5:19-22, 2016
                                      7. Burger IA et al: The value of 18F-FDG PET/CT in recurrent gynecologic malignancies prior to pelvic exenteration. Gynecol Oncol. 129(3):586-92, 2013
                                      8. Carreras C et al: Rare metastases detected by (68)Ga-somatostatin receptor PET/CT in patients with neuroendocrine tumors. Recent Results Cancer Res. 194:379-84, 2013
                                      9. Sanuki N et al: Evaluation of microscopic tumor extension in early-stage cervical cancer: quantifying subclinical uncertainties by pathological and magnetic resonance imaging findings. J Radiat Res. 54(4):719-26, 2013
                                      10. Alt CD et al: Imaging of female pelvic malignancies regarding MRI, CT, and PET/CT: part 2. Strahlenther Onkol. 187(11):705-14, 2011
                                      11. Brocker KA et al: Imaging of female pelvic malignancies regarding MRI, CT, and PET/CT: part 1. Strahlenther Onkol. 187(10):611-8, 2011
                                      12. Fischerova D: Ultrasound scanning of the pelvis and abdomen for staging of gynecological tumors: a review. Ultrasound Obstet Gynecol. 38(3):246-66, 2011
                                      13. Levy A et al: Interest of diffusion-weighted echo-planar MR imaging and apparent diffusion coefficient mapping in gynecological malignancies: a review. J Magn Reson Imaging. 33(5):1020-7, 2011
                                      14. Walker DK et al: Overlooked diseases of the vagina: a directed anatomic-pathologic approach for imaging assessment. Radiographics. 31(6):1583-98, 2011
                                      15. Bogliolo S et al: Breast cancer with synchronous massive metastasis in the uterine cervix: a case report and review of the literature. Arch Gynecol Obstet. 281(4):769-73, 2010
                                      16. Cagayan MS: Vaginal metastases complicating gestational trophoblastic neoplasia. J Reprod Med. 55(5-6):229-35, 2010
                                      17. Ceccaroni M et al: Symptomatic vaginal bleeding in a postmenopausal woman revealing colon adenocarcinoma metastasizing exclusively to the vagina. J Minim Invasive Gynecol. 17(6):779-81, 2010
                                      18. Colling R et al: Endometrial metastasis of colorectal cancer with coincident endometrial adenocarcinoma. BMJ Case Rep. 2010, 2010
                                      19. D'souza MM et al: Cervical and uterine metastasis from carcinoma of breast diagnosed by PET/CT: an unusual presentation. Clin Nucl Med. 35(10):820-3, 2010
                                      20. Grant LA et al: Congenital and acquired conditions of the vulva and vagina on magnetic resonance imaging: a pictorial review. Semin Ultrasound CT MR. 31(5):347-62, 2010
                                      21. Sahdev A: Cervical tumors. Semin Ultrasound CT MR. 31(5):399-413, 2010
                                      22. Sohaib SA et al: Imaging of uterine malignancies. Semin Ultrasound CT MR. 31(5):377-87, 2010
                                      23. Sundaram PS et al: Staring secondaries, where is the primary? Indian J Med Paediatr Oncol. 31(4):148-50, 2010
                                      24. Griffin N et al: Magnetic resonance imaging of vaginal and vulval pathology. Eur Radiol. 18(6):1269-80, 2008
                                      25. Kang WD et al: Hepatocellular carcinoma presenting as uterine metastasis. Cancer Res Treat. 40(3):141-4, 2008
                                      26. Parikh JH et al: MR imaging features of vaginal malignancies. Radiographics. 28(1):49-63; quiz 322, 2008
                                      27. Hauth EA et al: [Magnetic resonance imaging in the diagnosis of benign and malignant pelvic tumors.] Rofo. 176(6):817-28, 2004
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Synonyms

                                                  • Secondary malignancy of uterus, cervix, or vagina

                                                IMAGING

                                                • General Features

                                                  • CT Findings

                                                    • MR Findings

                                                      • Ultrasonographic Findings

                                                        • Nuclear Medicine Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Gross Pathologic & Surgical Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Bouvier AS et al: Uterine metastasis from invasive ductal breast carcinoma: a case report with literature review. J Gynecol Obstet Hum Reprod. 50(1):101993, 2021
                                                                          2. Zhu XD et al: An isolated vaginal metastasis from intestinal signet ring cell carcinoma: a case report and literature review. BMC Cancer. 20(1):478, 2020
                                                                          3. Franco-Márquez R et al: Metastasis of breast lobular carcinoma to endometrium presenting as recurrent abnormal uterine bleeding: a case report and review of literature. Case Rep Pathol. 2019:5357194, 2019
                                                                          4. Rahmani M et al: Endometrial metastasis from ductal breast carcinoma: a case report with literature review. Am J Case Rep. 19:494-9, 2018
                                                                          5. Shibata M et al: Uterine metastasis of lung adenocarcinoma under molecular target therapy with epidermal growth factor receptor tyrosine kinase inhibitors: a case report and review of the literature. J Obstet Gynaecol Res. 44(2):352-8, 2018
                                                                          6. Sadatomo A et al: An isolated vaginal metastasis from rectal cancer. Ann Med Surg (Lond). 5:19-22, 2016
                                                                          7. Burger IA et al: The value of 18F-FDG PET/CT in recurrent gynecologic malignancies prior to pelvic exenteration. Gynecol Oncol. 129(3):586-92, 2013
                                                                          8. Carreras C et al: Rare metastases detected by (68)Ga-somatostatin receptor PET/CT in patients with neuroendocrine tumors. Recent Results Cancer Res. 194:379-84, 2013
                                                                          9. Sanuki N et al: Evaluation of microscopic tumor extension in early-stage cervical cancer: quantifying subclinical uncertainties by pathological and magnetic resonance imaging findings. J Radiat Res. 54(4):719-26, 2013
                                                                          10. Alt CD et al: Imaging of female pelvic malignancies regarding MRI, CT, and PET/CT: part 2. Strahlenther Onkol. 187(11):705-14, 2011
                                                                          11. Brocker KA et al: Imaging of female pelvic malignancies regarding MRI, CT, and PET/CT: part 1. Strahlenther Onkol. 187(10):611-8, 2011
                                                                          12. Fischerova D: Ultrasound scanning of the pelvis and abdomen for staging of gynecological tumors: a review. Ultrasound Obstet Gynecol. 38(3):246-66, 2011
                                                                          13. Levy A et al: Interest of diffusion-weighted echo-planar MR imaging and apparent diffusion coefficient mapping in gynecological malignancies: a review. J Magn Reson Imaging. 33(5):1020-7, 2011
                                                                          14. Walker DK et al: Overlooked diseases of the vagina: a directed anatomic-pathologic approach for imaging assessment. Radiographics. 31(6):1583-98, 2011
                                                                          15. Bogliolo S et al: Breast cancer with synchronous massive metastasis in the uterine cervix: a case report and review of the literature. Arch Gynecol Obstet. 281(4):769-73, 2010
                                                                          16. Cagayan MS: Vaginal metastases complicating gestational trophoblastic neoplasia. J Reprod Med. 55(5-6):229-35, 2010
                                                                          17. Ceccaroni M et al: Symptomatic vaginal bleeding in a postmenopausal woman revealing colon adenocarcinoma metastasizing exclusively to the vagina. J Minim Invasive Gynecol. 17(6):779-81, 2010
                                                                          18. Colling R et al: Endometrial metastasis of colorectal cancer with coincident endometrial adenocarcinoma. BMJ Case Rep. 2010, 2010
                                                                          19. D'souza MM et al: Cervical and uterine metastasis from carcinoma of breast diagnosed by PET/CT: an unusual presentation. Clin Nucl Med. 35(10):820-3, 2010
                                                                          20. Grant LA et al: Congenital and acquired conditions of the vulva and vagina on magnetic resonance imaging: a pictorial review. Semin Ultrasound CT MR. 31(5):347-62, 2010
                                                                          21. Sahdev A: Cervical tumors. Semin Ultrasound CT MR. 31(5):399-413, 2010
                                                                          22. Sohaib SA et al: Imaging of uterine malignancies. Semin Ultrasound CT MR. 31(5):377-87, 2010
                                                                          23. Sundaram PS et al: Staring secondaries, where is the primary? Indian J Med Paediatr Oncol. 31(4):148-50, 2010
                                                                          24. Griffin N et al: Magnetic resonance imaging of vaginal and vulval pathology. Eur Radiol. 18(6):1269-80, 2008
                                                                          25. Kang WD et al: Hepatocellular carcinoma presenting as uterine metastasis. Cancer Res Treat. 40(3):141-4, 2008
                                                                          26. Parikh JH et al: MR imaging features of vaginal malignancies. Radiographics. 28(1):49-63; quiz 322, 2008
                                                                          27. Hauth EA et al: [Magnetic resonance imaging in the diagnosis of benign and malignant pelvic tumors.] Rofo. 176(6):817-28, 2004