Ovarian metastasis of cervix squamous cell carcinoma and evaluation of the literature about trachelectomy process [Serviks skuamöz hücreli kanserin övere metastazi ve trakelektomi işleminin literatür eşliğinde değerlendirilmesi]
Unal O.,Istanbul Dr. Lutfi Krdar Kartal Egitim ve Arastrma Hastanesi |
Sakin O.,Istanbul Dr. Lutfi Krdar Kartal Egitim ve Arastrma Hastanesi |
Kars B.,Istanbul Dr. Lutfi Krdar Kartal Egitim ve Arastrma Hastanesi
Turk Jinekolojik Onkoloji Dergisi | Year: 2014
Objective: Evaluation of the literature about the long term follow-up of trachelectomy operation and to notify the rare situation of cervical squamous cell carcinoma metastasis to the ovaries. Case: We have done a trachelectomy operation 6 years ago for stage 1A2 cervix carcinoma. 7 months after the operation a cervical stenosis was diagnosed and a second operation was done for dilatation-drainage. 1 year later a 3-4 cm adnexal mass occurred. And it had malignancy suspicion. The patient had the third operation for the adnexal mass and in the frozen examination malignancy was detected. She had total abdominal hysterectomy and bilateral salpingoopherectomy because of that. After the exact pathologic examinations cervix squamous cell carcinoma metastasis to the ovaries was seen. After 6 years she does not have any recurrence or other any pathology. Conclusion: As a result of the researches radical trachelectomy proves that it is an effective and appropriate option. Therefore it must be considered in suitable patients and implemented in experienced centers will be the right approach. And it should be noted that cervix squamous cell carcinoma can make metastasis to the ovaries and patient’s follow-ups should not be ignored in this case. © 2014, Gunes Kitap Kirtasiye. All rights reserved.