Isolated splenic metastasis in a patient with squamous cell
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The patient is a 62-year-old Hispanic female with a past medical history of hypertension. She originally presented to the gynecologist with a chief complaint of post-menopausal bleeding. Physical examination and laboratory analysis were within normal limits. She underwent a hysteroscopy, dilation, and curettage as well as a polypectomy. Pathology showed invasive squamous cell carcinoma of the cervix. A radical hysterectomy was then performed and surgical margins were negative. Adjunctive treatment with brachytherapy was conducted. The patient subsequently developed a ureteral stricture secondary to her radiation therapy, and follow-up imaging after ureteral stenting demonstrated a new hypodense lesion within the spleen.

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