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

被引:10
作者
Bader, AA
Tamussino, KF
Moinfar, F
Bjelic-Radisic, V
Winter, R
机构
[1] Med Univ Graz, Dept Obstet & Gynecol, A-8036 Graz, Austria
[2] Med Univ Graz, Inst Pathol, A-8036 Graz, Austria
关键词
radical trachelectomy; recurrence; cervical cancer;
D O I
10.1016/j.ygyno.2005.07.107
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
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 IBI 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. (c) 2005 Elsevier Inc. All rights reserved.
引用
收藏
页码:785 / 787
页数:3
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