Recurrent cervical cancer after trachelectomy diagnosed by hysteroscopy: A case report.

Amanda Ferraro, Anya Laibangyang, Ariella Yazdani, Joshua Hurwitz, Linus Chuang
Author Information
  1. Amanda Ferraro: Department of Obstetrics, Gynecology and Reproductive Sciences of Danbury Hospital, 24 Hospital Ave, Danbury, CT 06810, United States.
  2. Anya Laibangyang: Department of Obstetrics, Gynecology and Reproductive Sciences of Danbury Hospital, 24 Hospital Ave, Danbury, CT 06810, United States.
  3. Ariella Yazdani: Larner College of Medicine at the University of Vermont, 89 Beaumont Ave, Burlington, VT 0540, United States.
  4. Joshua Hurwitz: Department of Obstetrics, Gynecology and Reproductive Sciences of Danbury Hospital, 24 Hospital Ave, Danbury, CT 06810, United States.
  5. Linus Chuang: Department of Obstetrics, Gynecology and Reproductive Sciences of Danbury Hospital, 24 Hospital Ave, Danbury, CT 06810, United States.

Abstract

Surveillance for cervical cancer recurrence after radical trachelectomy is challenging and warrants additional research to establish evidence-based screening guidelines. Papanicolaou (Pap smear) with HPV testing, physical exam, and symptom reporting remain the standard of care despite high false positive rates. In this patient with a history of early-stage cervical adenocarcinoma status post radical trachelectomy, a diagnosis of recurrence was made hysteroscopically, prompting evaluation of the utility of this technique for screening and management of patients with suspected recurrent cervical cancer after trachelectomy.

Keywords

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