title: Incisional site metastasis in a patient with cervical carcinoma: a case report and review of the literature.
abstract: Abdominal wall metastasis either incisional, drain, or port is rather rare in patients treated for cervical carcinoma. We present a case of a patient who underwent an abdominal radical hysterectomy for a moderately differentiated cervical adenocarcinoma stage Ib1 and presented an incisional site metastasis 36 months after her operation. Moreover, we performed a literature search for abdominal wall metastases after radical hysterectomy for cervical cancer, and we present a table of the relative case reports. After our literature search, we clarified that the median time of recurrence was 14 months (range 1.5 month to 45 months). Thirty-three out of 42, 8/42, and 1/42 were squamous, adeno-, and adenosquamous carcinomas, respectively. Wide excision was performed in 30/37 cases of which we have information regarding the treatment option, while 11/37 and 13/37 underwent radiotherapy and chemotherapy, respectively. The possible mechanism of such a metastasis as well as the treatment options is discussed.
authors.affiliation: Gynaecological Oncology Department, Royal Surrey County Hospital, Guildford, Surrey GU2 7XX, UK.
authors.forename: C
authors.initials: C
authors.lastname: Iavazzo
authors.forename: K
authors.initials: K
authors.lastname: Madhuri
authors.forename: A
authors.initials: A
authors.lastname: Tailor
authors.forename: S
authors.initials: S
authors.lastname: Butler-Manuel