Curative anterior pelvic exenteration for pelvic recurrence after irradiated, surgically treated cervical cancer. A case report and literature review

Abstract

Pelvic recurrences after irradiated and surgically treated cervical cancer are frequent situations which require an aggressive surgical approach in order to provide a benefit in terms of survival. Most often in these situations pelvic exenterations are needed to obtain a curative resection with negative resection margins. We present the case of a 68 year old patient who was successfully submitted to anterior pelvic exenteration for a centropelvic recurrence after pre-irradiated, surgically treated cervical cancer. At eighteen months follow up the patient is free of local or distant recurrences.