TY - JOUR T1 - En bloc resection of cervical adenocarcinoma with late recurrence to the iliopsoas JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2020-239466 VL - 14 IS - 2 SP - e239466 AU - Sofia Isabel Tamesa Manlubatan AU - Marc Paul Jose Lopez AU - Carlo Martin Hilomen Garcia AU - Czar Louie Lopez Gaston Y1 - 2021/02/01 UR - http://casereports.bmj.com/content/14/2/e239466.abstract N2 - 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. ER -