Ovarian metastasis of stage IB1 squamous cell cancer of the cervix after radical parametrectomy and oophoropexy.
We present a case report of a patient with a IB1 cervical squamous cell cancer which recurred in a transposed ovary 8 years following radical parametrectomy. The patient was initially treated with a simple vaginal hysterectomy for apparent CIS but was found to have an invasive squamous cell cancer to a depth of 7 mm into the stroma. She was treated with a radical parametrectomy, pelvic lymphadenectomy, and ovarian transposition. There was no evidence of residual disease. The patient then had an apparent isolated recurrence in her left ovary 8 years later. Although there are a few cases of stage IB squamous cell cancer metastatic to a transposed ovary, this is the first case with such minimal primary disease and delayed isolated recurrence.
Nguyen
L
L
University of California Irvine, Department of Obstetrics and Gynecology, UCI Medical Center, Orange 92613-14091, USA.
Brewer
C A
CA
DiSaia
P J
PJ
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000556:secondary* / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008197:Lymph Node Excision; D010051:Ovarian Neoplasms / Q000556:secondary*; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000601:surgery*