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 Oncoljournal_title
Gynecologic oncologyauthors
Bader AA,Tamussino KF,Moinfar F,Bjelic-Radisic V,Winter Rdoi
10.1016/j.ygyno.2005.07.107subject
Has Abstractpub_date
2005-12-01 00:00:00pages
785-7issue
3eissn
0090-8258issn
1095-6859pii
S0090-8258(05)00660-8journal_volume
99pub_type
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