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Journal of Case Reports
Femur Metastasis: A Rare Metastatic Site in Carcinoma Cervix
Purnima Thakur1, Vishal Verma2, Vikas Fotedar1, Mukesh Sharma1 
Departments of 1Radiation Oncology, 2Orthopedics; Indira Gandhi Medical College, Shimla, Himachal Pradesh, India.
Corresponding Author:
Dr. Purnima Thakur
Email: purnimathakur28@gmail.com

Received: 26-OCT-2017 Accepted: 13-MAR-2018 Published Online: 15-APR-2018
DOI: http://dx.doi.org/10.17659/01.2018.0025
Background: Cancer cervix is known to spread to distant sites including bones. Long bone metastasis is relatively rare and only handful of cases have been reported. Therefore, bone scan is routinely used in staging of cancer cervix. We report a rare case of cancer cervix with controlled primary and isolated metastasis to femur. Case Report: A 45 year female patient of cancer cervix IIB was treated by chemo-radiotherapy to pelvis and para-aortic region. On follow up, she developed isolated bone lesion in upper 1/3rd of femur. Femoral involvement was histologically proven squamous cell carcinoma, consistent with the primary pathology. She was treated by surgical resection of metastatic disease with total hip replacement, followed by adjuvant chemotherapy. Presently she is on follow up for 10 months and asymptomatic. Conclusion:  Bony metastasis may reduce the survival significantly and therefore early diagnosis and adequate treatment may lead to better quality of life in these patients. 

Keywords : Arthroplasty, Chemotherapy, Femur, Squamous Cell Carcinoma, Uterine Cervical Neoplasms.
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