Carcinoma of the cervical stump. A case report and literature review.

N. Bacalbasa, I. Balescu, C. Ionescu

Abstract: Subtotal hysterectomy for benign uterine disease was a common surgical procedure in the past decades. Keeping in place the uterine cervix predisposes to late complications such as cervico-vaginal prolapse, chronic cervicitis or even malignant transformations of the cervical stump. We present the case of a 56 year old patient who was submitted to subtotal hysterectomy for a large uterine fibroma 4 years before and who presented vaginal bleeding and pelvic pain. She was diagnosed with cervical stump carcinoma and a radical resection including trachelectomy with pelvic and para-aortic lymph node dissection was performed. The histopathological studies revealed a well differentiated squamous cell cervical cancer.
DOI:10.18643/gieu.2015.12

Keywords: subtotal hysterectomy, cervical stump malignancy, radical resection.