title: Recurrence in a Schuchardt incision after Schauta-Amreich radical vaginal hysterectomy for cervical cancer.
abstract: A Schuchardt incision is frequently performed to facilitate access to the parametrium during radical vaginal hysterectomy for cervical cancer. We report an adenocarcinoma recurrence in a Schuchardt incision 12 months after radical vaginal hysterectomy for FIGO stage IB1 cervical cancer. Histology of the primary tumor had shown a well-differentiated adenocarcinoma and poorly differentiated squamous cell carcinoma of the cervix 2.6 cm in maximum diameter. After further surgical therapy and adjuvant radiotherapy, the patient died of disease 51 months after the initial operation. Cervical cancers can implant and recur in perineal incisions. Thus, it appears prudent to avoid such incisions or, if they are made, to irrigate them copiously before closing them.
authors.affiliation: Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria. arnim.bader@meduni-graz.at
authors.forename: A A
authors.initials: AA
authors.lastname: Bader
authors.forename: V
authors.initials: V
authors.lastname: Bjelic-Radisic
authors.forename: K F
authors.initials: KF
authors.lastname: Tamussino
authors.forename: G
authors.initials: G
authors.lastname: Pristauz
authors.forename: R
authors.initials: R
authors.lastname: Winter
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000556:secondary / Q000601:surgery; D004841:Episiotomy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects* / Q000379:methods*; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis*; D002583:Uterine Cervical Neoplasms / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000556:secondary*