Single Bone Metastasis of a Squamous Cell Carcinoma of the Cervix: In the Clavicle
Imane Chahbounia *
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco.
Abdelkarim Poudiougou
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Sofia El Omri
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Imane Sella
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Abdelkarim Antari
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Faman Sano
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Imad Taleb
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Hamadoun Traoré
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Mohammed Amine Saad
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Khaoula Alaoui Slimani
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Lamiaa Aalaoui
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Saida Lamine
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Adil Debbagh
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Mohammed Reda Khmamouche
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Choukri Elm’hadi
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Tarik Mahfoud
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Mohammed Anouar Mokhlis
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Yassir Sbitti
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Mohammed Ichou
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Hassan Errihani
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
Rachid Tanz
Medical Oncology Department, Mohamed V Military Instruction Hospital, Rabat, Morocco and Medical Oncology Department, National Institute of Oncology, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Cervical cancer occurs around the age of 40-45, and can be localized or metastatic.
Metastatic sites vary: lymph nodes, lungs and other sites. Bone metastases are uncommon, and require histological study to confirm their secondary nature, especially in the case of unusual localizations. Case report: we report the case of a young patient followed since 2022 for a moderately differentiated, infiltrating and keratinizing squamous cell carcinoma of the uterine cervix, classified IIb, treated with concomitant radio-chemotherapy. In early 2024, a surveillance thoraco-abdomino-pelvic CT scan showed a mixed lesion of the sternal end of the left clavicle. A PET-FDG scan showed an intense, heterogeneous, hypermetabolic condensing lesion. A biopsy confirmed the diagnosis: bone localization of a moderately differentiated squamous cell carcinoma. The patient was treated with chemotherapy, followed by surgery and local radiotherapy. Conclusion: a clavicular metastasis of a cervical cancer represents a rare entity, especially in the presence of a single secondary lesion, with no other metastases elsewhere.
Keywords: Clavicle, bone metastasis, single lesion, cervical cancer