title: "Microinvasive" adenocarcinoma of the cervix implanting in an episiotomy scar.
abstract: Episiotomy scar tumor implantation arising from a cervical carcinoma is rare. This report details a patient who developed an episiotomy implant from a "microinvasive" adenocarcinoma of the cervix 5 months following vaginal delivery. The implant behaved as a primary focus for metastases to the inguinal lymph nodes. Despite subsequent treatment with chemotherapy and radiotherapy the patient succumbed to the disease. The case is the first reporting a poor outcome following an episiotomy scar implant from a primary cervical adenocarcinoma. The poor outcome highlights the controversy regarding the use of the term microinvasive with respect to glandular cervical lesions.
authors.affiliation: Regional Department of Gynaecological Oncology, Queen Elizabeth Hospital, Tyne and Wear, England.
authors.forename: N R
authors.initials: NR
authors.lastname: Van den Broek
authors.forename: A D
authors.initials: AD
authors.lastname: Lopes
authors.forename: A
authors.initials: A
authors.lastname: Ansink
authors.forename: J M
authors.initials: JM
authors.lastname: Monaghan
mesh_terms: D000230:Adenocarcinoma / Q000209:etiology* / Q000473:pathology; D000328:Adult; D002921:Cicatrix / Q000150:complications*; D004841:Episiotomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D009361:Neoplasm Invasiveness; D011247:Pregnancy; D002583:Uterine Cervical Neoplasms / Q000209:etiology* / Q000473:pathology