Korean J Obstet Gynecol.  2003 Nov;46(11):2258-2263.

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

• Kim YH
• Lee SK
• Lee JH

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.

Keyword

Recurrent cervical carcinoma; Total pelvic exenteration

MeSH Terms

Cervix Uteri
Diagnosis
Female
Humans
Hysterectomy*
Mortality
Pelvic Exenteration*
Rectum
Survival Rate
Urinary Bladder
Uterine Cervical Neoplasms
Uterus
Vagina
Vaginal Neoplasms