BMJ Case Reports 2017; doi:10.1136/bcr-2016-218897

Unusual sites of metastases of carcinoma cervix

  1. Selvamani Backianathan1
  1. 1Department of Radiotherapy, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
  2. 2Department of Pathology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
  1. Correspondence to Dr Selvamani Backianathan, selvamani{at}
  • Accepted 20 January 2017
  • Published 7 February 2017


We present a case of metastatic squamous cell carcinoma cervix with solitary bone metastases to the right tibia and multiple cutaneous metastases. A woman aged 52 years with cancer of the cervix and lung metastases, after 21 months of initial diagnosis and palliative chemotherapy presented with pain in the right knee and multiple nodular skin lesions. Bone scintigraphy revealed intense increased tracer activity in the proximal and mid shaft of the right tibia. Biopsy from the tibial lesion confirmed metastatic squamous cell carcinoma. The presentation, diagnosis and management of this rare case are discussed.


  • Contributors RMC, JJ and SB were involved with clinical care of the patient. RMC wrote the manuscript. JJ and SB reviewed the manuscript. SM was involved with providing the photomicrograph of the histopathology slides, reviewing the manuscript.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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