Cervical adenosquamous carcinoma

tumor implantation in an episiotomy scar

Gudrun Neumann, Kjeld L Rasmussen, Lone Kjeld Petersen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

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.

OriginalsprogEngelsk
TidsskriftObstetrics and Gynecology
Vol/bind110
Udgave nummer2 Pt 2
Sider (fra-til)467-9
Antal sider3
ISSN0029-7844
DOI
StatusUdgivet - aug. 2007

Fingeraftryk

Adenosquamous Carcinoma
Episiotomy
Neoplasms
Adjuvant Chemotherapy
Uterine Cervical Neoplasms

Citer dette

Neumann, Gudrun ; Rasmussen, Kjeld L ; Petersen, Lone Kjeld. / Cervical adenosquamous carcinoma : tumor implantation in an episiotomy scar. I: Obstetrics and Gynecology. 2007 ; Bind 110, Nr. 2 Pt 2. s. 467-9.
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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.",
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Cervical adenosquamous carcinoma : tumor implantation in an episiotomy scar. / Neumann, Gudrun; Rasmussen, Kjeld L; Petersen, Lone Kjeld.

I: Obstetrics and Gynecology, Bind 110, Nr. 2 Pt 2, 08.2007, s. 467-9.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Cervical adenosquamous carcinoma

T2 - tumor implantation in an episiotomy scar

AU - Neumann, Gudrun

AU - Rasmussen, Kjeld L

AU - Petersen, Lone Kjeld

PY - 2007/8

Y1 - 2007/8

N2 - 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.

AB - 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.

KW - Adult

KW - Carcinoma, Adenosquamous/diagnosis

KW - Chemotherapy, Adjuvant

KW - Cicatrix/pathology

KW - Combined Modality Therapy

KW - Episiotomy

KW - Fatal Outcome

KW - Female

KW - Humans

KW - Hysterectomy

KW - Lymph Node Excision

KW - Lymphatic Metastasis/pathology

KW - Neoplasm Recurrence, Local

KW - Pregnancy

KW - Pregnancy Complications, Neoplastic/diagnosis

KW - Puerperal Disorders/diagnosis

KW - Uterine Cervical Neoplasms/diagnosis

U2 - 10.1097/01.AOG.0000275260.45730.ea

DO - 10.1097/01.AOG.0000275260.45730.ea

M3 - Journal article

VL - 110

SP - 467

EP - 469

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 2 Pt 2

ER -