Role of metastasectomy and chemotherapy in carcinoma of uterine cervix

BMJ Case Rep. 2017 Aug 2:2017:bcr2017221153. doi: 10.1136/bcr-2017-221153.

Abstract

Squamous cell carcinoma of uterine cervix is potentially a curable disease; however, many patients treated with definitive chemoradiotherapy develop distant metastases, with few of them having a single metastatic deposit. There are no guidelines for the treatment of patients with oligometastatic cervical cancer.We present a case of a patient with International Federation of Gynecology and Obstetrics (FIGO) Stage IIB squamous cell carcinoma of uterine cervix. She was successfully treated with concurrent chemoradiotherapy with definitive intent. One year later, she developed a solitary pulmonary nodule for which she underwent resection followed by chemotherapy. She is free of any local or distant disease at 5 years of regular follow-up.

Keywords: cervical cancer; gynecological cancer.

Publication types

  • Case Reports

MeSH terms

  • Carcinoma, Squamous Cell
  • Chemoradiotherapy / methods*
  • Combined Modality Therapy
  • Female
  • Humans
  • Lung Neoplasms / pathology
  • Lung Neoplasms / secondary*
  • Lung Neoplasms / surgery
  • Metastasectomy*
  • Middle Aged
  • Neoplasm Recurrence, Local / pathology
  • Neoplasm Staging
  • Uterine Cervical Neoplasms / pathology
  • Uterine Cervical Neoplasms / therapy*