Chemopersistent early recurrence in the perineal tear scar of an intrapartally diagnosed cervical cancer.
BACKGROUND
Cervical cancer is the most frequent cancer occurring in pregnancy. Apart from some general recommendations, there is no standardized consensus for the management of this cancer during pregnancy. Individual case reports do exist on intrapartal cancer diagnosis and risks.


METHODS
We describe the case of an early recurrence in the perineal tear scar of an intrapartally diagnosed cervical cancer, which had developed despite combined neoadjuvant and adjuvant chemotherapy.


CONCLUSIONS
Although iatrogenic tumor cell spreading in the vagina is rare, this oncological risk is easy to avoid. It should be considered in the peripartal management of patients suffering from cervical cancer. Our case report underlines the limits of chemotherapy in the treatment of tumor residue and points out the problem of cervical cancer cell spreading during invasive procedures.
Hoopmann
Markus
M
Department of Gynecology and Obstetrics, University of Cologne, 50924, Cologne, Germany. nc-hoopmama@netcologne.de
Valter
Markus
M
Kurbacher
Christian
C
Possover
Marc
M
Mallmann
Peter K
PK
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D017024:Chemotherapy, Adjuvant; D005260:Female; D006801:Humans; D020360:Neoadjuvant Therapy; D009364:Neoplasm Recurrence, Local / Q000188:drug therapy / Q000473:pathology*; D010502:Perineum / Q000293:injuries* / Q000473:pathology*; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000188:drug therapy / Q000473:pathology*; D002583:Uterine Cervical Neoplasms / Q000188:drug therapy / Q000473:pathology*