MODERATELY DIFFERENTIATED CERVICAL SQUAMOUS CELL CARCINOMA WITH SUPERFICIAL SPREAD TO THE ENDOMETRIUM AND FALLOPIAN TUBE: A CASE REPORT AND REVIEW OF THE LITERATURE

Abstract

Squamous cell carcinoma (SCC) is the fourth most common malignancy in women worldwide, accounting for approximately 80% of all cervical cancers. Although SCC typically spreads to adjacent tissues through lymphatic or direct invasion, superficial spread to the endometrium and fallopian tubes is an uncommon and underreported phenomenon. This case report presents a 63-year-old multiparous postmenopausal woman who experienced abnormal vaginal bleeding and pelvic pain for three months. Clinical examination, imaging, and histopathological analysis revealed moderately differentiated squamous cell carcinoma of the cervix with superficial extension to the endometrium and right fallopian tube, without stromal invasion or lymphatic spread. The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy followed by adjuvant chemotherapy, resulting in complete remission at one-year follow-up. This case underscores the importance of recognizing superficial spreading SCC in postmenopausal women with unexplained vaginal bleeding and highlights the need for thorough diagnostic evaluation to distinguish it from primary endometrial malignancies, ensuring accurate treatment and improved patient outcomes.