title: Central pelvic recurrence 7 years after radical vaginal trachelectomy.
abstract: BACKGROUND
  We report a case of central pelvic recurrence 7 years after radical vaginal trachelectomy for adenocarcinoma of the cervix.
  
  
  METHODS
  A 30-year-old woman was treated by radical vaginal trachelectomy and bilateral pelvic lymph node dissection (a fertility sparing procedure) in 1996 for cervical cancer. Pathology demonstrated a well differentiated, stage 1B1 adenocarcinoma. She presented 7 years later with a central pelvic recurrence measuring 30 mm in width. She subsequently underwent radical hysterectomy for central clearance and did not require post-operative radiotherapy.
  
  
  CONCLUSIONS
  Should selected patients who were initially treated by radical trachelectomy for early stage cervical cancer, in particular those with adenocarcinoma (as 50% of recurrences have been reported in this group of patients), be offered hysterectomy once child bearing is complete?
authors.affiliation: Royal Marsden Hospital, London, UK. anishbali@doctors.org.uk
authors.forename: Anish
authors.initials: A
authors.lastname: Bali
authors.forename: Anthony
authors.initials: A
authors.lastname: Weekes
authors.forename: Phillipe
authors.initials: P
authors.lastname: Van Trappen
authors.forename: Arjun
authors.initials: A
authors.lastname: Jeyarajah
authors.forename: Denis
authors.initials: D
authors.lastname: Querleu
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology* / Q000601:surgery*; D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000473:pathology* / Q000532:radiotherapy / Q000601:surgery; D012307:Risk Factors; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000601:surgery*