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Case Reports in Obstetrics and Gynecology
Volume 2012, Article ID 593732, 6 pages
http://dx.doi.org/10.1155/2012/593732
Case Report

Incisional Site Metastasis in a Patient with Cervical Carcinoma: A Case Report and Review of the Literature

Gynaecological Oncology Department, Royal Surrey County Hospital, Guildford, Surrey GU2 7XX, UK

Received 27 August 2012; Accepted 2 November 2012

Academic Editors: M. K. Hoffman, I. MacKenzie, and M. G. Porpora

Copyright © 2012 C. Iavazzo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Abdominal wall metastasis either incisional, drain, or port is rather rare in patients treated for cervical carcinoma. We present a case of a patient who underwent an abdominal radical hysterectomy for a moderately differentiated cervical adenocarcinoma stage Ib1 and presented an incisional site metastasis 36 months after her operation. Moreover, we performed a literature search for abdominal wall metastases after radical hysterectomy for cervical cancer, and we present a table of the relative case reports. After our literature search, we clarified that the median time of recurrence was 14 months (range 1.5 month to 45 months). Thirty-three out of 42, 8/42, and 1/42 were squamous, adeno-, and adenosquamous carcinomas, respectively. Wide excision was performed in 30/37 cases of which we have information regarding the treatment option, while 11/37 and 13/37 underwent radiotherapy and chemotherapy, respectively. The possible mechanism of such a metastasis as well as the treatment options is discussed.