RT Journal Article
SR Electronic
T1 En bloc resection of cervical adenocarcinoma with late recurrence to the iliopsoas
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e239466
DO 10.1136/bcr-2020-239466
VO 14
IS 2
A1 Sofia Isabel Tamesa Manlubatan
A1 Marc Paul Jose Lopez
A1 Carlo Martin Hilomen Garcia
A1 Czar Louie Lopez Gaston
YR 2021
UL http://casereports.bmj.com/content/14/2/e239466.abstract
AB 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.