Hysterectomy in Local Recurrent Carcinoma Cervix following Concurrent Chemoradiaton

Abstract

Concurrent chemoradiotherapy is the standard treatment for locally advanced cervical cancer. However, residual or subsequent local recurrence is 10 to 30%. Several studies have reported the usefulness of salvage simple total hysterectomy, and efforts have been made to reduce complications. This is a case report of 64 years para 5 postmenopausal lady diagnosed as squamous cell carcinoma of cervix stage II B, had received concurrent chemoradiation. After 6 weeks of its completion, MRI revealed no residual disease. However, 6 months of no residual, USG and MRI revealed cervical lesion. With the suspicion of local recurrence, patient underwent total abdominal hysterectomy with bilateral salpingo-ophorectomy. She developed wound infection and per rectal bleeding which were treated. During her subsequent follow up visit, vault smear was negative and enhanced CT scan revealed no recurrence.