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Radical Hysterectomy for Cervical Cancer in Patients With Uterine Prolapse
Nicolae Bacalbasa1,2,3, Ioana Halmaciu4, Dragos Cretoiu5,6
1"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania nicolae_bacalbasa@yahoo.ro.
Background/Aim:
Association between cervical cancer and uterine prolapse represents a scarce eventuality. This is a case series of 11 patients diagnosed with different stages of cervical cancer in association with uterine prolapse.
Patients And Methods:
Between 2014 and 2020, 11 patients were diagnosed with cervical cancer on prolapsed uterine cervix.
Results:
The mean age of patients at the time of uterine cervix diagnosis was 68 years. In six cases, the first intent treatment was surgery, while in the remaining five cases it consisted of radio-chemotherapy, followed by radical surgery. The perioperative and postoperative outcomes were compared to those reported in a similar series of patients diagnosed in similar stages of the disease, but in the absence of uterine prolapse, no significant differences being encountered.
Conclusion:
Although it represents an unusual situation, malignant transformation of the uterine cervix might be encountered even in cases presenting uterine prolapse. In such cases, the therapeutic strategy should be tailored according to the stage of the disease.
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