Central pelvic recurrence 7 years after radical vaginal trachelectomy

被引:23
作者
Bali, A [1 ]
Weekes, A
Van Trappen, P
Jeyarajah, A
Querleu, D
机构
[1] Royal Marsden Hosp, Dept Gynaecol Oncol, London SW3 6JJ, England
[2] St Bartholomews Hosp, London, England
[3] Inst Claudius Regaud, Toulouse, France
关键词
radical vaginal trachelectomy; adenocarcinoma; recurrence; stage 1 cervical cancer;
D O I
10.1016/j.ygyno.2004.11.006
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background. We report a case of central pelvic recurrence 7 years after radical vaginal trachelectomy for adenocarcinoma of the cervix. Case. A 30-year-old woman was treated by radical vaginal trachelectomy and bilateral pelvic lymph node dissection (a fertility sparing procedure) in 1996 for cervical cancer. Pathology demonstrated a well differentiated, stage 1131 adenocarcinoma. She presented 7 years later with a central pelvic recurrence measuring 30 mm in width. She subsequently underwent radical hysterectomy for central clearance and did not require post-operative radiotherapy. Conclusions. Should selected patients who were initially treated by radical trachelectomy for early stage cervical cancer, in particular those with adenocarcinoma (as 50% of recurrences have been reported in this group of patients), be offered hysterectomy once child bearing is complete? (c) 2004 Elsevier Inc. All rights reserved.
引用
收藏
页码:854 / 856
页数:3
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