LAUSR

time of diagnosis, as metastatic disease is an unusual occurrence. Less than 10% of female reproductive tract cancers occur from extra-genital sites with only 3.4% affecting the cervix. This is largely secondary to the fibrous tissue that constitutes the cervix, its relative small mass, limited blood flow and that pelvic lymphatic vessels anatomically drain away from instead of towards the cervix. There is limited literature pertaining to the incidence of metastatic patterns in colorectal cancer including the activity of such metastasis during the disease course. Colorectal cancers typically spread via the vasculature through the mesentery. Most common metastatic sites are the liver, followed by the lung. This case demonstrates a rare case of cervical metastasis of a rectosigmoid adenocarcinoma. To our knowledge, this case is particularly unique as the patient’s diagnosis was made after being considered disease free after 5 years of regular surveillance. Furthermore, the patient underwent successful chemoradiotherapy and R0 resection of the tumour which has not been described by alternate studies. According to the literature available, it appears that the majority of patients diagnosed with cervical metastasis have passed away within months after diagnosis, indicating these tumours are highly aggressive and associated with a poor prognosis. Our case highlights a rare pathway of metastasis in colorectal cancer while also demonstrating an unusually long time between her primary and secondary malignancy. As physicians and surgeons we should be mindful of the potential unusual pattern of this common malignancy. Acknowledgements