Recurrent Squamous Cell Carcinoma of the Uterine Cervix in an Abdominal Incision 2.5 Years after a Radical Hysterectomy

摘要

Recurrence of carcinoma of the uterine cervix mainly occurs locally or regionally after treatment. The most frequent recurrence sites are the parametrium, pelvic lymph nodes, and vagina. Distant metastasis usually occurs in the lungs, bone, and liver. The incidence of incisional scar recurrence from cervical carcinoma is low, ranging from 0.1% to 2% [1].We present a case of scar metastasis in a patient 2.5 years after a radical hysterectomy and chemotherapy for cervical cancer.A 45-year-old woman presented to our clinic with a mass over a prior surgical scar. Two and a half years earlier, she had undergone a radical hysterectomy and pelvic lymph node dissection via a Pfannenstiel incision for treatment of well-differentiated stage 1 b squamous cell carcinoma of the uterine cervix. The pathology report confirmed the presence of a 2.5-cm squamous cell carcinoma with parametrial involvement, but the lymph nodes were negative and there was a clear surgical margin. The patient refused postoperative adjuvant chemoradiation therapy at that time.