Sarcoma botryoides of the cervix treated with limited surgery and chemotherapy to preserve fertility.
Sarcoma botryoides rarely arises in the uterine cervix. It usually presents in the adolescent age group and is treated primarily by surgery followed by adjuvant chemotherapy. It has been reported in the literature that is possible to limit surgery to local excision in stage I cases, when the tumor is confined to the cervix. In an attempt to preserve reproductive function in a young female patient, we performed cervicectomy alone, followed by adjuvant chemotherapy. After 36 months follow-up she remains well, suggesting that limited excision with adjuvant chemotherapy may be sufficient for early-stage disease.
Lin
J
J
Department of Clinical Oncology, Prince of Wales Hospital, Shatin, New Territories, Hong Kong.
Lam
S K
SK
Cheung
T H
TH
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D003520:Cyclophosphamide / Q000008:administration & dosage; D003609:Dactinomycin / Q000008:administration & dosage; D005260:Female; D005298:Fertility / Q000502:physiology*; D006801:Humans; D018233:Rhabdomyosarcoma, Embryonal / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D002583:Uterine Cervical Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D014750:Vincristine / Q000008:administration & dosage
D003609:Dactinomycin; D014750:Vincristine; D003520:Cyclophosphamide