title: Isolated recurrence at the residual uterine cervix after abdominal radical trachelectomy for early cervical cancer.
abstract: BACKGROUND
  We report an isolated recurrence at the residual cervix shortly after abdominal radical trachelectomy for cervical cancer.
  
  
  METHODS
  A 34-year-old woman underwent radical abdominal trachelectomy and pelvic lymphadenectomy for FIGO stage IB1 squamous cell cervical cancer. The tumor measured 10 mm in maximum diameter with 4 mm of invasion. Histology showed lymph vascular space involvement with no infiltration of adjacent structures and no pelvic lymph node metastases. Tumor-free resection margins exceeded 15 mm. At the 6-month follow-up examination, cervical cytology showed cells suspicious for recurrent cervical cancer. Abdominal hysterectomy was performed and histology showed an isolated 3-mm recurrence in the residual cervix. The patient is free of disease 8 months after hysterectomy.
  
  
  CONCLUSIONS
  Recurrence at the residual cervix is a potential risk of abdominal trachelectomy for early cervical cancer. Patients should be counseled accordingly and followed closely.
authors.affiliation: Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria. arnim.bader@meduni-graz.at
authors.forename: Arnim A
authors.initials: AA
authors.lastname: Bader
authors.forename: Karl F
authors.initials: KF
authors.lastname: Tamussino
authors.forename: Farid
authors.initials: F
authors.lastname: Moinfar
authors.forename: Vesna
authors.initials: V
authors.lastname: Bjelic-Radisic
authors.forename: Raimund
authors.initials: R
authors.lastname: Winter
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000473:pathology*; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*