title: Partial Cystectomy with Distal Ureteral Resection and Re-implantation for Locally Invasive Cervical Cancer.
abstract: Cervical cancer is an aggressive gynecological malignancy which can develop local invasion of the surrounding organs. In cases presenting locally advanced disease, the association of neoadjuvant chemo-irradiation might reduce the local invasion and might transform the patient into a candidate for a conservative surgical procedure. However, there are also patients who refuse any association of neoadjuvant treatment; we present the case of a 52-year-old patient diagnosed with a locally invasive cervical tumor involving both ureteral ostia who formally refused any neoadjuvant oncological treatment and urostomy. Total radical hysterectomy with bilateral adnexectomy with partial cystectomy and distal bilateral ureterectomy was performed. The two ureters were re-implanted in the remnant urinary bladder.
authors.affiliation: Department of Obstetrics and Gynecology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania nicolae_bacalbasa@yahoo.ro.
authors.forename: Nicolae
authors.initials: N
authors.lastname: Bacalbasa
authors.affiliation: Ponderas Hospital, Bucharest, Romania.
authors.forename: Irina
authors.initials: I
authors.lastname: Balescu
authors.affiliation: Department of Anaethesia and Critical Care III, Fundeni Clinical Institute, Bucharest, Romania.
authors.forename: Dana
authors.initials: D
authors.lastname: Tomescu
mesh_terms: D015653:Cystectomy; D005260:Female; D006801:Humans; D008875:Middle Aged; D011379:Prognosis; D012092:Replantation; D014516:Ureteral Neoplasms / Q000473:pathology / Q000601:surgery*; D013520:Urologic Surgical Procedures; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*
keywords: distal ureterectomy; locally invasive cervical cancer; ureteral reimplantation