Cervical adenosquamous carcinoma: tumor implantation in an episiotomy scar.
BACKGROUND
We report a rare case of a cervical adenosquamous carcinoma, initially diagnosed during delivery, with subsequent implantation in the episiotomy scar 5 weeks postpartum.


METHODS
A 35-year-old woman with cervical adenosquamous carcinoma diagnosed during delivery was treated with radical abdominal hysterectomy with bilateral pelvic lymphadenectomy. Five weeks later the metastatic tumor at the episiotomy site was excised, and the patient received adjuvant chemotherapy and radiation therapy. Relapse occurred rapidly, and surgical exenteration was initiated but abandoned intraoperatively due to the presence of intra-abdominal carcinomatosis. The patient was declared terminal 6 months postpartum and died 2 months later.


CONCLUSIONS
This case illustrates the importance of inspection of the perineal area during delivery in patients diagnosed with cervical cancer.
Neumann
Gudrun
G
Department of Gynecology & Obstetrics, Herning Hospital, Herning, Denmark. gudrunneumann@dadlnet.dk
Rasmussen
Kjeld L
KL
Petersen
Lone Kjeld
LK
D000328:Adult; D018196:Carcinoma, Adenosquamous / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy; D017024:Chemotherapy, Adjuvant; D002921:Cicatrix / Q000473:pathology*; D003131:Combined Modality Therapy; D004841:Episiotomy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis / Q000473:pathology; D009364:Neoplasm Recurrence, Local; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy; D011644:Puerperal Disorders / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy