title: Advanced stage of cervical carcinoma undiagnosed during antenatal period in term pregnancy and concomitant metastasis on episiotomy scar during delivery: a case report and review of the literature.
abstract: The objective of this study is to review the implantation of malignant cells of cervical cancer in an episiotomy site. This is the second case of cervical cancer with concomitant episiotomy metastasis in the literature. The treatment consisted of radiochemotherapy. There was no confirmed recurrent disease after 1 year of follow-up in our reported case. In conclusion, pregnancy appears to be a chance for cervical cancer screening as a part of prenatal care. If cervical cancer is diagnosed in a woman after vaginal delivery, she must be examined carefully including the episiotomy site.
authors.affiliation: Department of Obstetrics and Gynecology, Izmir Ataturk Education and Research Hospital, Basin Sitesi, Izmir, Turkey. alibaloglu@yahoo.com
authors.forename: A
authors.initials: A
authors.lastname: Baloglu
authors.forename: D
authors.initials: D
authors.lastname: Uysal
authors.forename: N
authors.initials: N
authors.lastname: Aslan
authors.forename: S
authors.initials: S
authors.lastname: Yigit
mesh_terms: D000328:Adult; D002277:Carcinoma / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D002921:Cicatrix / Q000473:pathology; D036861:Delivery, Obstetric; D004841:Episiotomy; D005260:Female; D006801:Humans; D009367:Neoplasm Staging; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D018566:Pregnancy, High-Risk; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy