J Gynecol Oncol.  2009 Jun;20(2):129-131. 10.3802/jgo.2009.20.2.129.

Metastatic carcinoma of cervix mimicking psoas abscess on imaging: a case report

Affiliations
  • 1Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, India. navkal2004@yahoo.com
  • 2Department of Cytology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
  • 3Department of Radiotherapy, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Abstract

Cervical cancer can be presented as an unusual and aggressive manner in human immunodeficiency virus (HIV)-positive women. There are case reports of psoas abscess which mimick metastasis from cervical carcinoma in HIV-positive patients. However, such cases are very rare in HIV-negative women with only few case reports available in the literature. We report one case of psoas abscess mimicking metastasis in a HIV-negative woman, which was initially diagnosed as spinal tuberculosis.

Keyword

Cervical cancer; Psoas abscess; Metastasis

MeSH Terms

Cervix Uteri
Female
HIV
Humans
Neoplasm Metastasis
Psoas Abscess
Tuberculosis, Spinal
Uterine Cervical Neoplasms

Figure

  • Fig. 1 CT image. Well-defined hypo-dense lesion in the right psoas muscle (arrow) with peripheral enhancement (3×2.8×3.2 cm).

  • Fig. 2 MRI. (A) Right psoas abscess, (B) osteolytic lesions involving the L2 and L3 vertebrae with cortical destruction.

  • Fig. 3 Cytological examination showing presence of metastatic squamous cell carcinoma (arrow).


Reference

1. Bagul NB, Abeysekara AM, Jacob S. Primary psoas abscess due to Streptococcus milleri. Ann Clin Microbiol Antimicrob. 2008. 7:7.
2. Devendra K, Tay SK. Metastatic carcinoma of the cervix presenting as a psoas abscess in an HIV-negative woman. Singapore Med J. 2003. 44:302–303.
3. Singh GS, Aikins JK, Deger R, King S, Mikuta JJ. Metastatic cervical cancer and pelvic inflammatory disease in an AIDS patient. Gynecol Oncol. 1994. 54:372–376.
4. Bar-Dayan Y, Fishman A, Levi Z, Rachmani R. Squamous cell carcinoma of the cervix with psoas abscess-like metastasis in an HIV-negative patient. Isr J Med Sci. 1997. 33:674–676.
5. George J, Lai FM. Metastatic cervical carcinoma presenting as psoas abscess and osteoblastic and lytic bony metastases. Singapore Med J. 1995. 36:224–227.
Full Text Links
  • JGO
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr