Rare case of incisional site abdominal wall metastasis from uterine cervical cancer recurrence disease: A case report and literature review

Cervical cancer most commonly recurs in the parametrium, pelvic lymph nodes, and vagina. The incidence of incisional skin metastasis from cervical cancer is extremely rare and usually results in a poor prognosis. A 54-year-old female patient was referred with an abdominal mass after definitive treatment for cervical cancer. Fourteen months before admission, she underwent radical hysterectomy with bilateral salpingo-oophorectomy and pelvic lymphadenectomy. Her abdominal examination at presentation revealed a 2 cm diameter mobile mass with solid consistency. Her fine needle aspiration biopsy results were positive for metastatic carcinoma. The patient was then given chemotherapy, at the end of which the mass still existed. We then performed wide excision of the mass followed by reradiation therapy. Metastasis of the incisional site after definitive therapy for cervical cancer is an extremely rare occurrence in the follow-up of tumor patients and represents a challenge for the interdisciplinary team. Factors that affect the recurrence time, optimal management, and prognosis in these cases must be further studied.