Document detail
ID

doi:10.1186/s12905-023-02428-7...

Author
Andrikos, Dimitrios Andrikos, Argyrios Naem, Antoine Ebertz, Olga Devassy, Rajesh Wilde, Rudy Leon Khamou, Michael Krentel, Harald
Langue
en
Editor

BioMed Central

Category

Medicine & Public Health

Year

2023

listing date

5/24/2023

Keywords
cervical cancer supracervical hysterectomy cervical dysplasia laparoscopic lymphadenectomy human papilloma virus approach imaging treatment tumor patient cervical advanced cancer stump laparoscopic
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Abstract

Background Advanced cancer of the cervical stump, occurring years after a laparoscopic supracervical hysterectomy (LASH), is a rare but serious clinical condition.

Many patients who undergo a LASH are unaware of this possible complication.

Upon diagnosis of advanced cervical stump cancer, a holistic approach including imaging, laparoscopic surgery and multimodal oncological therapy is required.

Case presentation A 58-year-old patient presented to our department with the suspicion of advanced cervical stump cancer eight years after LASH.

She reported pelvic pain, irregular vaginal bleedings and irregular discharge.

Gynaecological examination revealed a locally advanced tumor of the uterine cervix with suspicion of infiltration of the left parametria and bladder.

After thorough diagnostic imaging and laparoscopic staging, the tumor stage was determined as FIGO IIIB and the patient was treated with combined radiochemotherapy.

The patient presented with tumor recurrence 5 months after the completion of therapy and she is currently being treated with multichemotherapy and immunotherapy regimens as palliative treatment.

Conclusion Patients should be made aware about the risk of cervical stump carcinoma after LASH and the necessity for regular screening.

Cervical cancer after LASH is often diagnosed at advanced stages and the treatment requires an interdisciplinary approach.

Andrikos, Dimitrios,Andrikos, Argyrios,Naem, Antoine,Ebertz, Olga,Devassy, Rajesh,Wilde, Rudy Leon,Khamou, Michael,Krentel, Harald, 2023, Advanced cervical stump cancer after laparoscopic subtotal hysterectomy: a case report of imaging, laparoscopic staging and treatment approach, BioMed Central

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