Summary
This study has important clinical implications and may provide a therapeutic strategy to address unmet medical needs in combination with locally advanced cervical cancer complicated by irreducible complete uterine prolapse. These conditions were successfully treated using a multidisciplinary approach of chemoradiotherapy followed by radical hysterectomy and uterosacral ligament suspension.
Original Article
Successful treatment of locally advanced bulky cervical cancer complicated by irreducible complete uterine prolapse. A case report
Medicine
Lee, Dong Hyung MD, PhD; Joo, Jong Kil MD, PhDa; Suh, Dong Soo MD, PhDa; Shin, Byung Sup MD, PhD; Hwang, Seo Yoon MD; Kim, Ki Hyung MD, PhD
Abstract
Rationale:
Cervical cancer complicated by irreducible complete uterine prolapse in elderly patients is extremely rare. No standard treatment has been established for these conditions.
Patient concerns:
A 74-year-old woman with a 30-year history of pelvic organ prolapse presented with irreducible complete uterine prolapse and a large exophytic mass involving the cervix and vaginal wall.
Diagnosis:
Biopsy of the mass was performed at the referring institution and showed invasive verrucous-type squamous cell carcinoma.
Interventions:
A prolapsed uterus with a tumor mass could not be manually reduced. After completion of concurrent chemoradiotherapy, the tumor mass in the prolapsed uterus decreased and could be reduced manually. Subsequently, the patient underwent hysterectomy and intra-abdominal uterosacral ligament suspension.
Outcomes:
At 19 months of postoperative follow-up, the patient remained disease-free and had no evidence of vault prolapse.
Lessons:
This study has important clinical implications and may provide a therapeutic strategy to address unmet medical needs in combination with locally advanced cervical cancer complicated by irreducible complete uterine prolapse. These conditions were successfully treated using a multidisciplinary approach of chemoradiotherapy followed by radical hysterectomy and uterosacral ligament suspension.
Author contributions
Conceptualization: Dong Hyung Lee, Ki Hyung Kim.
Resources: Byung Sup Shin.
Supervision: Jong Kil Joo.
Writing – original draft: Dong Hyung Lee.
Writing – review & editing: Dong Soo Suh, Seo Yoon Hwang, Ki Hyung Kim.