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Case Reports
. 2023 Jan 10:45:101134.
doi: 10.1016/j.gore.2023.101134. eCollection 2023 Feb.

Recurrent cervical cancer after trachelectomy diagnosed by hysteroscopy: A case report

Amanda Ferraro  1 , Anya Laibangyang  1 , Ariella Yazdani  2 , Joshua Hurwitz  1   3 , Linus Chuang  1   2
Affiliations
Case Reports

Recurrent cervical cancer after trachelectomy diagnosed by hysteroscopy: A case report

Amanda Ferraro et al. Gynecol Oncol Rep. .

Abstract

Surveillance for cervical cancer recurrence after radical trachelectomy is challenging and warrants additional research to establish evidence-based screening guidelines. Papanicolaou (Pap smear) with HPV testing, physical exam, and symptom reporting remain the standard of care despite high false positive rates. In this patient with a history of early-stage cervical adenocarcinoma status post radical trachelectomy, a diagnosis of recurrence was made hysteroscopically, prompting evaluation of the utility of this technique for screening and management of patients with suspected recurrent cervical cancer after trachelectomy.

Keywords: Case report; Cervical cancer recurrence; Cervical cancer screening; Hysteroscopy; Trachelectomy.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Hysteroscopic appearance of lower uterine segment.
Fig. 2
Fig. 2
Uterus with residual endocervical adenocarcinoma involving lower uterine segment.
See this image and copyright information in PMC

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References

    1. Brown A.J., Shah J.S., Fleming N.D., Nick A.M., Soliman P.T., Chisholm G.B., Schmeler K.M., Ramirez P.T., Frumovitz M. Role of cervical cytology in surveillance after radical trachelectomy for cervical cancer. Gynecol. Oncol. 2016;142:283–285. doi: 10.1016/j.ygyno.2016.05.030. - DOI - PMC - PubMed
    1. Feratovic R., Lewin S.N., Sonoda Y., Park K.J., Abu-Rustum N.R., Moreira A.L., Lin O. Cytologic findings after fertility-sparing radical trachelectomy. Cancer. 2008;114:1–6. doi: 10.1002/cncr.23256. - DOI - PubMed
    1. Koh W.-J., Greer B.E., Abu-Rustum N.R., Apte S.M., Campos S.M., Cho K.R., Chu C., Cohn D., Crispens M.A., Dorigo O., Eifel P.J., Fisher C.M., Frederick P., Gaffney D.K., Han E., Huh W.K., Lurain J.R., Mutch D., Fader A.N., Remmenga S.W., Reynolds R.K., Teng N., Tillmanns T., Valea F.A., Yashar C.M., McMillian N.R., Scavone J.L. Cervical cancer, version 2.2015. J. Natl. Compr. Canc. Netw. 2015;13:395–404. doi: 10.6004/jnccn.2015.0055. - DOI - PubMed
    1. Lanowska M., Mangler M., Grittner U., Akbar G.R., Speiser D., von Tucher E., Köhler C., Schneider A., Kühn W. Isthmic-vaginal smear cytology in the follow-up after radical vaginal trachelectomy for early stage cervical cancer: is it safe? CancerCytopathol. 2014;122:349–358. doi: 10.1002/cncy.21402. - DOI - PubMed
    1. Salani R., Backes F.J., Fung M.F.K., Holschneider C.H., Parker L.P., Bristow R.E., Goff B.A. Posttreatment surveillance and diagnosis of recurrence in women with gynecologic malignancies: society of gynecologic oncologists recommendations. Am. J. Obstet. Gynecol. 2011;204:466–478. doi: 10.1016/j.ajog.2011.03.008. - DOI - PubMed

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