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KMID : 1137020070180020146
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Journal of Gynecologic Oncology
2007 Volume.18 No. 2 p.146 ~ p.149
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Isolated metastasis to the abdominal wall after treatment of unexpected invasive cervical cancer found at total hysterectomy -a case report-
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Park Eun-Kyung
Sin Woo-Mi
Kim Ok-Kyoung
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Abstract
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Total abdominal hysterectomy was considered an inadequate treatment method for invasive cervical cancer. Usually the procedure was inadvertently performed on patients who were thought preoperatively to have benign conditions. Survival for patients with gross disease remaining after inappropriate hysterectomy is poor. So, early cancer detection and proper management with precise pretreatment staging is necessary to avoid inadequate hysterectomy, especially in cases of gross residual disease. Cervical cancer typically recurs at the vaginal vault or in the pelvis; however it can recur distantly in the abdomen or lung. Although recurrences have been reported at laparoscopic trocar sites, it is unusual to have recurrence in the abdominal wall after laparotomy. A case of isolated metastasis to the abdominal wall after treatment of unexpected invasive cervical cancer found at total hysterectomy is presented with a brief review of the literature.
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KEYWORD
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Cervical cancer, Hysterectomy, Metastasis
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