Metastatic Squamous Cell Carcinoma of The Cervix Presenting As A Splenic Cyst

Squamous cell carcinoma metastatic to the spleen is a rare occurrence and has been reported mostly inautopsy series. Only two cases of carcinoma cervix with solitary metastasis to the spleen have beenreported in living patients. Among these, the tumour was confined to the spleen in only one case, where asin the other it had extended to involve the pancreas and the left kidney and adrenal. We present a case ofa 50 year old patient with carcinoma cervix, treated with radiotherapy in 1997. Four years after completionof primary treatment, she presented with a painful mass in the left hypochondrium. Exploratory laparotomyrevealed a splenic cyst which on pathological examination was diagnosed as metastatic squamous cellcarcinoma. The patient received chemotherapy and was alive four years later, at the time of writingof this report.