Treatment of cervical cancer metastatic to the abdominal wall with reconstruction using a composite myocutaneous flap: A case report

Autor: Muhieddine Seoud, Rayan Rammal, Alaa El Housheimi, Dalia Khalife, Salim C. Saba, Reem Abdallah, Ali Khalil, Ibrahim Elias Abdallah
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Gynecologic Oncology Reports
Gynecologic Oncology Reports, Vol 27, Iss, Pp 38-41 (2019)
ISSN: 2352-5789
Popis: A 43-year-old woman treated with radical hysterectomy 1 year ago for cervical cancer presented with a suprapubic abdominal mass. A 15 cm necrotic mass from the abdominal wall along with 2 small bowel loops and the dome of the bladder were resected. The peritoneal defect was reconstructed with a pedicled anterolateral thigh and Vastus Lateralis muscle composite flap. Pathology showed invasive non-keratinizing moderately differentiated squamous cell carcinoma, consistent with metastatic cervical cancer, involving urinary bladder, bowel and soft tissue. With advancement in reconstructive surgery, extensive resection with defect closure in properly selected cases of metastatic cervical cancer to the abdominal wall may be considered in an attempt at improving quality of life and overall survival.
Highlights • Abdominal wall metastasis from cervical cancer is treated with chemo-radiation. • Plastic reconstruction offers a surgical approach with improvement of overall survival. • No recommendations can be made so far because of the extreme rarity of this condition.
Databáze: OpenAIRE