Curative treatment of a pelvic side wall recurrence after conization for microinvasive cervical cancer stage IA1: a case report and review of the literature.
BACKGROUND
For patients wishing to preserve fertility conization is regarded as an adequate treatment in cervical cancer stage IA1 without lymphovascular space involvement (LVSI). Reviewing case series with IA1 cervical cancers without LVSI, lymph node metastasis (LNM) is present in 0.5%.


METHODS
We pr esent a case of a 34-year-old patient treated with conization for squamous cervical cancer invading 1.2 mm without LVSI and horizontal extension of 6 mm (IA1).


RESULTS
At a routine postpartum examination after an uneventful pregnancy, a 5-cm pelvic mass was noted at the right pelvic wall. Intraoperative evaluation revealed a LNM which was resected, and postoperative pelvic chemoradiotherapy was performed. The patient remains recurrence-free 84 months after conization and 73 months after resection of the recurrence.


CONCLUSIONS
Occurrence of LNM in IA1 cervical cancers is very rare, but if early diagnosed curative treatment is possible.
Dedes
Konstantin J
KJ
Division of Gynecology, Department of Obstetrics and Gynecology, University Hospital of Zurich, Zurich, Switzerland.
Dedes
Miltiades
M
Varga
Zsuzsanna
Z
Zimmermann
Dieter R
DR
Fink
Daniel
D
Fehr
Mathias K
MK
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000473:pathology* / Q000821:virology; D003127:Colposcopy; D019092:Conization; D005260:Female; D052161:Human papillomavirus 18 / Q000302:isolation & purification; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D009361:Neoplasm Invasiveness; D010386:Pelvic Neoplasms / Q000473:pathology* / Q000601:surgery / Q000821:virology; D011879:Radiotherapy Dosage; D002583:Uterine Cervical Neoplasms / Q000473:pathology* / Q000821:virology