PMC4878055_01
Computed tomography slice of the patient pelvis showing a cervico-isthmic mass.
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Fig1
Thoracic-abdominal-pelvic CT showed T5 spinal cord compression with signs of epiduritis, right pleurisy, ascites, and cervical mass extended to the corpus and measuring 68 x 70 mm, without bladder or rectal invasion (Figure 1).
Cervical biopsy showing metastatic moderately differentiated adenocarcinoma cells: Ectocervical mucosa infiltrated by a carcinomatous proliferation of glands of varying size and focus of necrosis lined by atypical cells.
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Fig2
CA 19-9 serum tumor marker rate was 821 U/ml (normal <35 U/ml).Cervical biopsy was performed and showed a moderately differentiated adenocarcinoma of colonic origin (Figure 2), confirmed by immunohistochemical study showing tumor cells diffusely and strongly positive for CK20 and CDX2 markers, and negative for CK7 marker (Figure 3).
Immunohistochemical study of cervical tumor cells: Strong nuclear staining of tumor cells by the CDX2 marker.
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Fig3
CA 19-9 serum tumor marker rate was 821 U/ml (normal <35 U/ml).Cervical biopsy was performed and showed a moderately differentiated adenocarcinoma of colonic origin (Figure 2), confirmed by immunohistochemical study showing tumor cells diffusely and strongly positive for CK20 and CDX2 markers, and negative for CK7 marker (Figure 3).
PMC4878055_02