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Endocervical adenocarcinoma implantation in episiotomy scar: a case report and review of the literature
BACKGROUND: Cervical cancer is a rare malignancy in the 1st months of pregnancy. Implantation of this cancer in an episiotomy scar is a condition that is rarely reported. CASE PRESENTATION: We reviewed the literature on this condition and reported a 38 year-old Persian patient who had been diagnosed...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9993700/ https://www.ncbi.nlm.nih.gov/pubmed/36882845 http://dx.doi.org/10.1186/s13256-023-03786-4 |
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author | Yarandi, Fariba Aghili, Mahdi Ramhormozian, Sara Shirali, Elham |
author_facet | Yarandi, Fariba Aghili, Mahdi Ramhormozian, Sara Shirali, Elham |
author_sort | Yarandi, Fariba |
collection | PubMed |
description | BACKGROUND: Cervical cancer is a rare malignancy in the 1st months of pregnancy. Implantation of this cancer in an episiotomy scar is a condition that is rarely reported. CASE PRESENTATION: We reviewed the literature on this condition and reported a 38 year-old Persian patient who had been diagnosed with cervical cancer, clinically stage IB1, 5 months after a term vaginal delivery. She underwent transabdominal radical hysterectomy with ovarian preservation. Two months later she presented with a mass-like lesion in the episiotomy scar which was proved to be of cervical adenocarcinoma origin after biopsy. The patient was scheduled for chemotherapy with interstitial brachytherapy, an alternative to wide local resection, with successful long-term disease-free survival. CONCLUSION: Implantation of adenocarcinoma in an episiotomy scar is a rare occurrence in patients with a history of cervical cancer and previous vaginal delivery near the time of diagnosis which requires extensive local excision as a primary treatment when feasible. The proximity of the lesion to the anus can lead to major complications of extensive surgery. Alternative chemoradiation combined with interstitial brachytherapy can be successful in eliminating cancer recurrence without compromising the functional outcome. |
format | Online Article Text |
id | pubmed-9993700 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-99937002023-03-09 Endocervical adenocarcinoma implantation in episiotomy scar: a case report and review of the literature Yarandi, Fariba Aghili, Mahdi Ramhormozian, Sara Shirali, Elham J Med Case Rep Case Report BACKGROUND: Cervical cancer is a rare malignancy in the 1st months of pregnancy. Implantation of this cancer in an episiotomy scar is a condition that is rarely reported. CASE PRESENTATION: We reviewed the literature on this condition and reported a 38 year-old Persian patient who had been diagnosed with cervical cancer, clinically stage IB1, 5 months after a term vaginal delivery. She underwent transabdominal radical hysterectomy with ovarian preservation. Two months later she presented with a mass-like lesion in the episiotomy scar which was proved to be of cervical adenocarcinoma origin after biopsy. The patient was scheduled for chemotherapy with interstitial brachytherapy, an alternative to wide local resection, with successful long-term disease-free survival. CONCLUSION: Implantation of adenocarcinoma in an episiotomy scar is a rare occurrence in patients with a history of cervical cancer and previous vaginal delivery near the time of diagnosis which requires extensive local excision as a primary treatment when feasible. The proximity of the lesion to the anus can lead to major complications of extensive surgery. Alternative chemoradiation combined with interstitial brachytherapy can be successful in eliminating cancer recurrence without compromising the functional outcome. BioMed Central 2023-03-08 /pmc/articles/PMC9993700/ /pubmed/36882845 http://dx.doi.org/10.1186/s13256-023-03786-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Case Report Yarandi, Fariba Aghili, Mahdi Ramhormozian, Sara Shirali, Elham Endocervical adenocarcinoma implantation in episiotomy scar: a case report and review of the literature |
title | Endocervical adenocarcinoma implantation in episiotomy scar: a case report and review of the literature |
title_full | Endocervical adenocarcinoma implantation in episiotomy scar: a case report and review of the literature |
title_fullStr | Endocervical adenocarcinoma implantation in episiotomy scar: a case report and review of the literature |
title_full_unstemmed | Endocervical adenocarcinoma implantation in episiotomy scar: a case report and review of the literature |
title_short | Endocervical adenocarcinoma implantation in episiotomy scar: a case report and review of the literature |
title_sort | endocervical adenocarcinoma implantation in episiotomy scar: a case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9993700/ https://www.ncbi.nlm.nih.gov/pubmed/36882845 http://dx.doi.org/10.1186/s13256-023-03786-4 |
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