Cargando…
Synchronous occurrence of HPV-associated cervical squamous cell carcinoma (FIGO IIA) in prolapsed uterus and adenocarcinoma of the anal canal cT1N0M0: Case report
RATIONALE: Guidelines of rare synchronous tumours treatment are often unavailable due to lack of wide prospective studies. Additionally, their management is not just a simple sum of coexisting tumours management and has to regard many circumstances like symptoms, age, comorbidities, advancement. PAT...
Autores principales: | , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8677995/ https://www.ncbi.nlm.nih.gov/pubmed/34918650 http://dx.doi.org/10.1097/MD.0000000000028004 |
_version_ | 1784616255900090368 |
---|---|
author | Skręt, Andrzej Trawińska, Joanna Bielatowicz, Joanna Książek, Mariusz Niewęgłowska-Guzik, Beata Radkowski, Andrzej Kargol, Jaromir Magierło, Joanna Skręt- Barnaś, Edyta Gawlik, Bogusław |
author_facet | Skręt, Andrzej Trawińska, Joanna Bielatowicz, Joanna Książek, Mariusz Niewęgłowska-Guzik, Beata Radkowski, Andrzej Kargol, Jaromir Magierło, Joanna Skręt- Barnaś, Edyta Gawlik, Bogusław |
author_sort | Skręt, Andrzej |
collection | PubMed |
description | RATIONALE: Guidelines of rare synchronous tumours treatment are often unavailable due to lack of wide prospective studies. Additionally, their management is not just a simple sum of coexisting tumours management and has to regard many circumstances like symptoms, age, comorbidities, advancement. PATIENT CONCERNS: Herein, we report a case of an 81-year-old woman who presented with bleeding from the prolapsed uterus. DIAGNOSES: Based on physical examination, that is, speculum examination, bimanual, and per rectum, followed by rectoscopy and histopathology, the diagnosis of cervical squamous cell carcinoma FIGO IIA2 in prolapsed uterus with anal canal adenocarcinoma cT1N0M0 was made. INTERVENTIONS: Dominating complaint of bleeding from prolapsed cervix was managed with radical vaginal hysterectomy in conjunction with wide colpectomy preceded by laparoscopic pelvic and paraaortic lymphadenectomy. Due to the lack of consent for removal of the anus, only radiotherapy was applied instead. OUTCOMES: The patient underwent magnetic resonance image follow-up. No recurrence was found at 18 months. LESSONS: Imaging is useful method of synchronous cancers diagnostics. These cancers may vary in aetiology and stage. Cervical cancer may be co-existing with another anogenital cancer. Therapy of synchronous cancers should be individualized taking into account patient's consent, age, physical condition, and comorbidities. |
format | Online Article Text |
id | pubmed-8677995 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-86779952021-12-20 Synchronous occurrence of HPV-associated cervical squamous cell carcinoma (FIGO IIA) in prolapsed uterus and adenocarcinoma of the anal canal cT1N0M0: Case report Skręt, Andrzej Trawińska, Joanna Bielatowicz, Joanna Książek, Mariusz Niewęgłowska-Guzik, Beata Radkowski, Andrzej Kargol, Jaromir Magierło, Joanna Skręt- Barnaś, Edyta Gawlik, Bogusław Medicine (Baltimore) 5700 RATIONALE: Guidelines of rare synchronous tumours treatment are often unavailable due to lack of wide prospective studies. Additionally, their management is not just a simple sum of coexisting tumours management and has to regard many circumstances like symptoms, age, comorbidities, advancement. PATIENT CONCERNS: Herein, we report a case of an 81-year-old woman who presented with bleeding from the prolapsed uterus. DIAGNOSES: Based on physical examination, that is, speculum examination, bimanual, and per rectum, followed by rectoscopy and histopathology, the diagnosis of cervical squamous cell carcinoma FIGO IIA2 in prolapsed uterus with anal canal adenocarcinoma cT1N0M0 was made. INTERVENTIONS: Dominating complaint of bleeding from prolapsed cervix was managed with radical vaginal hysterectomy in conjunction with wide colpectomy preceded by laparoscopic pelvic and paraaortic lymphadenectomy. Due to the lack of consent for removal of the anus, only radiotherapy was applied instead. OUTCOMES: The patient underwent magnetic resonance image follow-up. No recurrence was found at 18 months. LESSONS: Imaging is useful method of synchronous cancers diagnostics. These cancers may vary in aetiology and stage. Cervical cancer may be co-existing with another anogenital cancer. Therapy of synchronous cancers should be individualized taking into account patient's consent, age, physical condition, and comorbidities. Lippincott Williams & Wilkins 2021-12-17 /pmc/articles/PMC8677995/ /pubmed/34918650 http://dx.doi.org/10.1097/MD.0000000000028004 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | 5700 Skręt, Andrzej Trawińska, Joanna Bielatowicz, Joanna Książek, Mariusz Niewęgłowska-Guzik, Beata Radkowski, Andrzej Kargol, Jaromir Magierło, Joanna Skręt- Barnaś, Edyta Gawlik, Bogusław Synchronous occurrence of HPV-associated cervical squamous cell carcinoma (FIGO IIA) in prolapsed uterus and adenocarcinoma of the anal canal cT1N0M0: Case report |
title | Synchronous occurrence of HPV-associated cervical squamous cell carcinoma (FIGO IIA) in prolapsed uterus and adenocarcinoma of the anal canal cT1N0M0: Case report |
title_full | Synchronous occurrence of HPV-associated cervical squamous cell carcinoma (FIGO IIA) in prolapsed uterus and adenocarcinoma of the anal canal cT1N0M0: Case report |
title_fullStr | Synchronous occurrence of HPV-associated cervical squamous cell carcinoma (FIGO IIA) in prolapsed uterus and adenocarcinoma of the anal canal cT1N0M0: Case report |
title_full_unstemmed | Synchronous occurrence of HPV-associated cervical squamous cell carcinoma (FIGO IIA) in prolapsed uterus and adenocarcinoma of the anal canal cT1N0M0: Case report |
title_short | Synchronous occurrence of HPV-associated cervical squamous cell carcinoma (FIGO IIA) in prolapsed uterus and adenocarcinoma of the anal canal cT1N0M0: Case report |
title_sort | synchronous occurrence of hpv-associated cervical squamous cell carcinoma (figo iia) in prolapsed uterus and adenocarcinoma of the anal canal ct1n0m0: case report |
topic | 5700 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8677995/ https://www.ncbi.nlm.nih.gov/pubmed/34918650 http://dx.doi.org/10.1097/MD.0000000000028004 |
work_keys_str_mv | AT skretandrzej synchronousoccurrenceofhpvassociatedcervicalsquamouscellcarcinomafigoiiainprolapseduterusandadenocarcinomaoftheanalcanalct1n0m0casereport AT trawinskajoanna synchronousoccurrenceofhpvassociatedcervicalsquamouscellcarcinomafigoiiainprolapseduterusandadenocarcinomaoftheanalcanalct1n0m0casereport AT bielatowiczjoanna synchronousoccurrenceofhpvassociatedcervicalsquamouscellcarcinomafigoiiainprolapseduterusandadenocarcinomaoftheanalcanalct1n0m0casereport AT ksiazekmariusz synchronousoccurrenceofhpvassociatedcervicalsquamouscellcarcinomafigoiiainprolapseduterusandadenocarcinomaoftheanalcanalct1n0m0casereport AT niewegłowskaguzikbeata synchronousoccurrenceofhpvassociatedcervicalsquamouscellcarcinomafigoiiainprolapseduterusandadenocarcinomaoftheanalcanalct1n0m0casereport AT radkowskiandrzej synchronousoccurrenceofhpvassociatedcervicalsquamouscellcarcinomafigoiiainprolapseduterusandadenocarcinomaoftheanalcanalct1n0m0casereport AT kargoljaromir synchronousoccurrenceofhpvassociatedcervicalsquamouscellcarcinomafigoiiainprolapseduterusandadenocarcinomaoftheanalcanalct1n0m0casereport AT magierłojoannaskret synchronousoccurrenceofhpvassociatedcervicalsquamouscellcarcinomafigoiiainprolapseduterusandadenocarcinomaoftheanalcanalct1n0m0casereport AT barnasedyta synchronousoccurrenceofhpvassociatedcervicalsquamouscellcarcinomafigoiiainprolapseduterusandadenocarcinomaoftheanalcanalct1n0m0casereport AT gawlikbogusław synchronousoccurrenceofhpvassociatedcervicalsquamouscellcarcinomafigoiiainprolapseduterusandadenocarcinomaoftheanalcanalct1n0m0casereport |