Top

Published in:

01-07-2010 | Gynecologic Oncology

Total laparoscopic radical hysterectomy for cervical cancer in prolapsed uterus

Authors: Sílvia Cabrera, Sílvia Franco-Camps, Ángel García, Ramona Vergés, Berta Díaz-Feijoo, M. Assumpció Pérez-Benavente, José Luis Poza, Melissa Bradbury, Jordi Xercavins, Antonio Gil-Moreno

Published in: Archives of Gynecology and Obstetrics | Issue 1/2010

Abstract

Purpose

The association between cervical cancer and uterine prolapse is rare and sparsely represented in literature, despite the high incidence of the latter. The suitable treatment in this clinical situation is not defined. The objective of this article is to review published cases about this clinical condition.

Methods

We report a case of cervical cancer in prolapsed uterus treated with radical hysterectomy performed totally by laparoscopic approach, and review other case reports published about this clinical condition.

Results

We present the first case reported in literature in our knowledge of cervical cancer in prolapsed uterus treated with radical hysterectomy performed totally by laparoscopic approach. Treatments previously reported are vaginal hysterectomies with adjuvant radiotherapy or concomitant chemo-radiotherapy.

Conclusions

Radical hysterectomy can be correctly performed totally by laparoscopic approach even when cervical cancer is associated with severe uterine prolapse.

Swift SE (2000) The distribution of pelvic organ support in a population of female subjects seen for routine gynaecologic health care. Am J Obstet Gynecol 183:277–285CrossRefPubMed

Bump RC et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175(1):10–17CrossRefPubMed

Cabaniss CM, Crocker CL (1963) Carcinoma of the prolapsed cervical stump. Obstet Gynecol 22:606–609PubMed

Chowdhury NR (1967) Cancer of the cervix associated with genital prolapse. Indian J Cancer 4:147PubMed

Daw E (1972) Carcinoma of cervix in association with procidentia. Br J Clin Pract 26(5):197–200PubMed

Kiss E (1966) Karzinom der prolabierten Portio. Wien Med Wochenschr 116:1079PubMed

Wong WSF, Ng CS, Lee CK (1990) Verrucous carcinoma of the cervix. Arch Gynecol Obstet 247:47–57CrossRefPubMed

Gil-Moreno A, Díaz-Feijoo B, Pérez-Benavente A et al (2008) Impact of extraperitoneal lymphadenectomy on treatment and survival in patients with locally advanced cervical cancer. Gynecol Oncol 110:33–35CrossRef

Dargent D, Ansquer Y, Mathevet P (2000) Technical development and results of left extraperitoneal laparoscopic paraaortic lymphadenectomy for cervical cancer. Gynecol Oncol 77(1):87–92CrossRefPubMed

10.

Peters WA, Liu PY, Barrett RJ et al (2000) Concurrent chemotherapy and pelvic radiation therapy compared with pelvic radiation therapy alone as adjuvant therapy after radical surgery in high-risk early-stage cancer of the cervix. J Clin Oncol 18(8):1606–1613PubMed

11.

Sobiczewski P, Bidzinski M, Derlatka P, Panek G, Danska-Bidzinska A, Gmyrek L, Michalski W (2009) Early cervical cancer managed by laparoscopy and conventional surgery: comparison of treatment results. Int J Gynecol Cancer 19:1390–1395PubMed

12.

Malzoni M, Tinelli R, Cosentino F, Fusco A, Malzoni C (2009) Total laparoscopic radical hysterectomy versus abdominal radical hysterectomy with lymphadenectomy in patients with early cervical cancer: our experience. Ann Surg Oncol 16:1316–1323CrossRefPubMed

13.

Beadle BM, Jhingran A, Salehpour M et al (2009) Cervix regression and motion during the course of external beam chemoradiation for cervical cancer. Int J Radiat Oncol 73:235–241CrossRef

14.

Reimer D, Sztankay A, Steppan I et al (2008) Cervical cancer associated with genital prolapse—a brief review of the literature and long-term results of successful treatment with radiochemotherapy and surgery in a very frail patient. Eur J Gynaecol Oncol 29(3):272PubMed

15.

Kriplani A, Relan S, Kumar L et al (1995) Incarcerated procodentia: a rare complication of carcinoma cervix. Aust N Z J Obstet Gynaecol 35(4):463–464CrossRefPubMed

16.

Da Silva BB, Da Costa Araujo R, Filho CP et al (2002) Carcinoma of the cervix in association with uterine prolapse. Gynecol Oncol 84:349CrossRefPubMed

17.

Querleu D, Morrow CP (2008) Classification of radical hysterectomy. Lancet Oncol 9:297–303CrossRefPubMed

18.

Noller KL, Decker GC, Dockerty MB (1974) Mesonephric (clear cell) carcinoma of the vagina and cervix. A retrospective analysis. Obstet Gynecol 1974;640–644

19.

Lax SF, Pizer ES, Ronnet BM et al (2008) Clear cell carcinoma of endometrium is characterized by a distinctive profile p53, Ki-67, estrogen and progesterone receptors expression. Hum Pathol 29:551–558CrossRef

20.

Kaminski PF, Maier RC (1983) Clear cell adenocarcinoma of the cervix unrelated to diethylstilbestrol exposure. Obstet Gynecol 62:720–727PubMed

21.

Thomas MB, Wright JD, Leizer AL, Chi DS, Mutch DG, Podratz KC, Dowdy SC (2008) Clear cell carcinoma af the cervix: a multi-institutional review in the post-DES era. Gynecol Oncol 109:335–339CrossRefPubMed

Title: Total laparoscopic radical hysterectomy for cervical cancer in prolapsed uterus
Authors: Sílvia Cabrera
Sílvia Franco-Camps
Ángel García
Ramona Vergés
Berta Díaz-Feijoo
M. Assumpció Pérez-Benavente
José Luis Poza
Melissa Bradbury
Jordi Xercavins
Antonio Gil-Moreno
Publication date: 01-07-2010
Publisher: Springer-Verlag
Published in: Archives of Gynecology and Obstetrics / Issue 1/2010
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-010-1472-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Total laparoscopic radical hysterectomy for cervical cancer in prolapsed uterus

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2010

A randomised controlled study comparing Drotaverine hydrochloride and Valethamate bromide in the augmentation of labour

Does amnioinfusion reduce caesarean section rate in meconium-stained amniotic fluid

Obesity alters retrieved oocyte count and clinical pregnancy rates in high and poor responder women after in vitro fertilization

Non-traumatic rupture of the left upper urinary tract during pregnancy without discernable underlying disorders

Effect of previous uterine surgery on the operative hysteroscopic outcomes in patients with reproductive failure: analysis of 700 cases

Quality of life and satisfaction after breast cancer operation