Cervical adenocarcinoma: tumor implantation in the episiotomy sites of two patients.
The spread of cervical carcinoma associated with parturition through a tumorous cervix is rarely demonstrated. This report details two patients with adenocarcinoma of the cervix who delivered term fetuses vaginally and subsequently presented with tumor nodules in the episiotomy scars. Although both patients appear to have had their recurrences treated successfully, follow-up on one patient has been only 10 months since the completion of therapy. Tumor implantation of the episiotomy wound is a potential risk associated with vaginal delivery in a pregnant patient with cervical carcinoma. However, this iatrogenic mechanism of tumor spread may permit an opportunity for successful treatment of the local recurrence.
Copeland
L J
LJ
Department of Gynecology, University of Texas, M. D. Anderson Hospital and Tumor Institute at Houston 77030.
Saul
P B
PB
Sneige
N
N
D000230:Adenocarcinoma / Q000473:pathology; D000328:Adult; D036861:Delivery, Obstetric; D004841:Episiotomy; D005260:Female; D006801:Humans; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local; D009366:Neoplasm Seeding; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology; D002583:Uterine Cervical Neoplasms / Q000473:pathology