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En bloc resection of cervical adenocarcinoma with late recurrence to the iliopsoas
  1. Sofia Isabel Tamesa Manlubatan1,
  2. Marc Paul Jose Lopez1,
  3. Carlo Martin Hilomen Garcia1 and
  4. Czar Louie Lopez Gaston2
  1. 1Department of Surgery, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
  2. 2Department of Orthopedics, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines
  1. Correspondence to Dr Sofia Isabel Tamesa Manlubatan; stmanlubatan{at}


This is a case of a 50-year-old woman diagnosed with recurrent cervical adenocarcinoma presenting with chronic and persistent low back pain. She underwent myomectomy for myoma uteri 8 years prior. Histopathology report revealed cervical cancer. She underwent chemotherapy, brachytherapy and external beam radiotherapy. All surveillance work-up, over the years, were negative until she was found to have a solitary recurrent lesion in the right iliopsoas muscle on CT scan. A multidisciplinary team of surgeons collaborated to perform wide excision of pelvic recurrence en bloc right internal hemipelvectomy, right hemicolectomy en bloc resection of external iliac artery and vein, external ilio-iliac artery interposition graft and external iliac vein–common femoral vein bypass. Final histopathologic results showed adenocarcinoma with endometrioid features with associated poorly differentiated high-grade carcinoma involving the iliopsoas, cecum and terminal ileum. Two months postoperatively, the patient is ambulating with minimal assistance.

  • cancer intervention
  • gynaecological cancer
  • vascular surgery

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  • Contributors SITM is the primary author of the report. MPJL, CMG and CLLG performed the operation on the patient and are the coauthors of the report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Disclaimer The authors hereby declare that this manuscript is entirely original and has not been submitted to any journal or published elsewhere.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.