Isolated recurrence at the residual uterine cervix after abdominal radical trachelectomy for early cervical cancer.

Abstract:

BACKGROUND:We report an isolated recurrence at the residual cervix shortly after abdominal radical trachelectomy for cervical cancer. CASE:A 34-year-old woman underwent radical abdominal trachelectomy and pelvic lymphadenectomy for FIGO stage IB1 squamous cell cervical cancer. The tumor measured 10 mm in maximum diameter with 4 mm of invasion. Histology showed lymph vascular space involvement with no infiltration of adjacent structures and no pelvic lymph node metastases. Tumor-free resection margins exceeded 15 mm. At the 6-month follow-up examination, cervical cytology showed cells suspicious for recurrent cervical cancer. Abdominal hysterectomy was performed and histology showed an isolated 3-mm recurrence in the residual cervix. The patient is free of disease 8 months after hysterectomy. CONCLUSION:Recurrence at the residual cervix is a potential risk of abdominal trachelectomy for early cervical cancer. Patients should be counseled accordingly and followed closely.

journal_name

Gynecol Oncol

journal_title

Gynecologic oncology

authors

Bader AA,Tamussino KF,Moinfar F,Bjelic-Radisic V,Winter R

doi

10.1016/j.ygyno.2005.07.107

subject

Has Abstract

pub_date

2005-12-01 00:00:00

pages

785-7

issue

3

eissn

0090-8258

issn

1095-6859

pii

S0090-8258(05)00660-8

journal_volume

99

pub_type

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