Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Yarandi, Fariba, Aghili, Mahdi, Ramhormozian, Sara, Shirali, Elham
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
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
_version_ 1784902565867028480
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
work_keys_str_mv AT yarandifariba endocervicaladenocarcinomaimplantationinepisiotomyscaracasereportandreviewoftheliterature
AT aghilimahdi endocervicaladenocarcinomaimplantationinepisiotomyscaracasereportandreviewoftheliterature
AT ramhormoziansara endocervicaladenocarcinomaimplantationinepisiotomyscaracasereportandreviewoftheliterature
AT shiralielham endocervicaladenocarcinomaimplantationinepisiotomyscaracasereportandreviewoftheliterature