Cervical adenosquamous carcinoma: tumor implantation in an episiotomy scar.

Abstract:

BACKGROUND:We report a rare case of a cervical adenosquamous carcinoma, initially diagnosed during delivery, with subsequent implantation in the episiotomy scar 5 weeks postpartum. CASE:A 35-year-old woman with cervical adenosquamous carcinoma diagnosed during delivery was treated with radical abdominal hysterectomy with bilateral pelvic lymphadenectomy. Five weeks later the metastatic tumor at the episiotomy site was excised, and the patient received adjuvant chemotherapy and radiation therapy. Relapse occurred rapidly, and surgical exenteration was initiated but abandoned intraoperatively due to the presence of intra-abdominal carcinomatosis. The patient was declared terminal 6 months postpartum and died 2 months later. CONCLUSION:This case illustrates the importance of inspection of the perineal area during delivery in patients diagnosed with cervical cancer.

journal_name

Obstet Gynecol

authors

Neumann G,Rasmussen KL,Petersen LK

doi

10.1097/01.AOG.0000275260.45730.ea

subject

Has Abstract

pub_date

2007-08-01 00:00:00

pages

467-9

issue

2 Pt 2

eissn

0029-7844

issn

1873-233X

pii

110/2/467

journal_volume

110

pub_type

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