A Case of Total Pelvic Exenteration for Recurrent Cervical Carcinoma Found after Simple Hysterectomy.

Kim, Yeo Hong; Lee, Seon Kyung; Lee, Ju Hee

Case Report

Korean Journal of Obstetrics & Gynecology 2003;46(11):2258-2263.
Published online November 1, 2003.

A Case of Total Pelvic Exenteration for Recurrent Cervical Carcinoma Found after Simple Hysterectomy.

Yeo Hong Kim, Seon Kyung Lee, Ju Hee Lee

¹Department of Obstetrics and Gynecology, Kyung Hee University, College of Medicine, Seoul, Korea.
²Department of Pathology, Kyung Hee University, College of Medicine, Seoul, Korea.

Abstract

Pelvic exenteration is a salvage procedure performed for centrally recurrent gynecologic cancers. The procedure involve en bloc resection to a greater or lesser degree of all pelvic structures, including the uterus, cervix, vagina, bladder and rectum. It was first reported by Brunschwig in 1948 as an ultra-radical surgical treatment for advanced and recurrent cervical cancer. Most patients who are candidates for the procedure have a diagnosis of recurrent cervical cancer that previously has been treated with surgery and radiation or radiation alone. In some cases, patients with recurrent uterine, vulvar, or vaginal cancers may benefit from pelvic exenteration. Currently, operative mortality rates range from 3% to 5%, the rate of major perioperative complications is 30-22% and the overall 5-year survival rate is those patients who successfully undergo the procedure ranges from 20-50%. We experience a case of total pelvic exenteration for recurrent cervical carcinoma found after simple hysterectomy. It is presented with a brief reviews of literatures.

Key Words: Recurrent cervical carcinoma, Total pelvic exenteration