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Approach to Carcinoma Cervix with Pelvic Kidney

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Abstract

To study the management of carcinoma cervix when the patient has an associated pelvic kidney. The simultaneous occurrence of carcinoma cervix and pelvic kidney is rare. It is an interesting scenario where surgery is technically challenging and radiation is difficult since the pelvic kidney lies within the field of radiation. In our department, we treated three cases of cervical carcinoma with pelvic kidney. First case was FIGO IIB treated with external beam radiotherapy followed by radical hysterectomy; second case stage IB1 treated with radical hysterectomy, third case was referred to us after panhysterectomy with carcinoma detected in postoperative histopathological report, and she was treated with external beam radiotherapy. We made an online database search and found few case reports of gynecological malignancies associated with pelvic kidney and reviewed their management. All the three patients are alive and disease free in the last follow up. None of the patients developed uremia. The pelvic kidney of the patients treated with radiotherapy has shrunken in size. Surgery is preferred over radiotherapy in early stages of carcinoma cervix with pelvic kidney to avoid radiation-induced damage to pelvic kidney.

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Conflict of interest

All the authors declare that there is no potential conflict of interest in relation to the above work. The authors do not have any financial and personal relationships with other people or organizations that could inappropriately influence this work.

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Correspondence to Rajaraman Ramamurthy.

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Synopsis

Surgery is recommended in early stages of carcinoma cervix with pelvic kidney to avoid radiation-induced damage to the pelvic kidney.

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Ramamurthy, R., Muthusamy, V. & Hussain, S.A. Approach to Carcinoma Cervix with Pelvic Kidney. Indian J Surg Oncol 1, 323–327 (2010). https://doi.org/10.1007/s13193-011-0060-z

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  • DOI: https://doi.org/10.1007/s13193-011-0060-z

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