Radical trachelectomy via a trans-sacral approach: A case report Journal Article


Authors: Sonoda, Y.; Papageorgiou, T.; Taieb, S.; Querleu, D.; Leblanc, E.
Article Title: Radical trachelectomy via a trans-sacral approach: A case report
Abstract: Background. Endometrial cancer may arise in patients previously treated for rectal cancer. Surgical management can be challenging, and the gynecologic oncologist may need to employ alternative surgical approaches. Case. A 71-year-old female with a history of Dukes class B rectal cancer previously treated by abdominoperineal resection and pelvic radiation therapy subsequently developed an endometrial cancer. Initial surgical management was difficult, and the entire cervix could not be removed. The patient recurred locally the following year and was managed by radical trachelectomy via a trans-sacral approach. Conclusion. Locally recurrent endometrial cancer can pose difficult management decisions. Radical resection may be the only alternative. Unusual situations may require adaptation of different surgical approaches of which the gynecologic oncologist must be aware. © 2003 Elsevier Science (USA). All rights reserved.
Keywords: human tissue; aged; cancer surgery; surgical technique; clinical feature; anamnesis; cancer recurrence; case report; cancer radiotherapy; nuclear magnetic resonance imaging; endometrium carcinoma; endometrial neoplasms; computer assisted tomography; neoplasm recurrence, local; surgical approach; breast carcinoma; partial mastectomy; tamoxifen; gynecologic surgical procedures; rectum carcinoma; rectum abdominoperineal resection; uterus surgery; cervicectomy; humans; human; female; priority journal; article; exanthema subitum
Journal Title: Gynecologic Oncology
Volume: 90
Issue: 2
ISSN: 0090-8258
Publisher: Elsevier Inc.  
Date Published: 2003-08-01
Start Page: 466
End Page: 470
Language: English
DOI: 10.1016/s0090-8258(03)00273-7
PUBMED: 12893221
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 12 September 2014 -- Source: Scopus
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  1. Yukio Sonoda
    472 Sonoda