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Case Report

Carcinoma Cervix with Extensive Scar Site Metastasis after Simple Hysterectomy: A Rare Scenario

Dr Jeetendar Paryani , Jeetendar Paryani1 , Parijat Suryavanshi2 , Shashi Singh Pawar3

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Indian Journal of Cancer Education and Research 7(1):p 23-26, Jan-June 2019. | DOI: DOI: http://dx.doi.org/10.21088/ijcer.2321.9815.7119.4

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Jeetendar Paryani, Parijat Suryavanshi, Shashi Singh Pawar. Carcinoma Cervix with Extensive Scar Site Metastasis after Simple Hysterectomy: A Rare Scenario. Indian J Canc Educ Res. 2019;7(1):23-26.

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Abstract

Recurrences after surgery or radiation for Carcinomas of uterine cervix are most commonly locoregional with the parametrium, lymph nodes and vagina as the most frequent sites of relapse. The occurrence of scar site metastases from carcinoma cervix is reported to be extremely rare ranging from 0.1 to 0.2%. We report here an unusual case of extensive scar site metastasisin patient with squamous cell carcinoma cervix operated earlier for simple hysterectomy and did not receive any adjuvant treatment. 60 year old female presented with 17x 10cm lower abdominal mass over the midline scar with multiple excavated ulcers on the surface. She was operated a year back for simple hysterectomy with bilateral salpingo-oophorectomy. Final histology came out as moderately differentiated squamous cell carcinoma of the cervix. Biopsy was taken from skin ulcer which was suggestive of squamous cell carcinoma. CECT scan was suggestive of a solid mass involving anterior abdominal wall and extensive areas of skin of around size 17 x15 x 12 cm and multiple omental metastasis. She was given taxane based chemotherapy after which she was also given palliative radiation to stop the bleeding ulcer but she succumbed to the disease. Scar site metastasis are an uncommon occurrence, with frequency of less than 5%. These have been frequently reported in cancers of colon, kidney, and bladder. The most common histopathology is adenocarcinoma and undifferentiated carcinoma, whereas squamous cell carcinoma is been rarely reported. The intent of treatment in advanced recurrent disease is palliation by surgery, chemotherapy, radiation therapy alone, and/or in combination. 

Keywords: Carcinoma Cervix; Hysterectomy; Adenocarcinoma; Uterine cervix

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Jeetendar Paryani, Parijat Suryavanshi, Shashi Singh Pawar. Carcinoma Cervix with Extensive Scar Site Metastasis after Simple Hysterectomy: A Rare Scenario. Indian J Canc Educ Res. 2019;7(1):23-26.

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DOI: DOI: http://dx.doi.org/10.21088/ijcer.2321.9815.7119.4

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