Central pelvic recurrence 7 years after radical vaginal trachelectomy.
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?
Bali
Anish
A
Royal Marsden Hospital, London, UK. anishbali@doctors.org.uk
Weekes
Anthony
A
Van Trappen
Phillipe
P
Jeyarajah
Arjun
A
Querleu
Denis
D
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*