Metastatic adenocarcinoma of the cervix in a delivery-induced traumatic lower vaginal tear

Background. Noncontiguous vaginal metastasis is rare in cervical cancer and is usually reported in the context of traumatic implantation. Traumatic vaginal implantation of cervical carcinoma has been documented in episiotomy, port site, or incision scars. Case. We report the only case in the literature with vaginal metastasis associated with traumatic vaginal tear presenting with concomitant metastasis and the second case in the literature with a concomitant vaginal metastasis. Treatment consisted of organ-sparing chemoradiotherapy. Although the previous literature suggests that nonsurgical management of traumatic implantation metastases is associated with survivals of less than 1 year, there is no confirmed recurrent disease after I year of follow-Lip in our reported case. Conclusion. The feasibility and initial favorable Outcome with chemoradiation is demonstrated in this rare presentation. (c) 2004 Elsevier Inc. All rights reserved.