Treatment of cervical cancer metastatic to the abdominal wall with reconstruction using a composite myocutaneous flap: A case report
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Elsevier B.V.
Abstract
A 43-year-old woman treated with radical hysterectomy 1 year ago for cervical cancer presented with a suprapubic abdominal mass. A 15 cm necrotic mass from the abdominal wall along with 2 small bowel loops and the dome of the bladder were resected. The peritoneal defect was reconstructed with a pedicled anterolateral thigh and Vastus Lateralis muscle composite flap. Pathology showed invasive non-keratinizing moderately differentiated squamous cell carcinoma, consistent with metastatic cervical cancer, involving urinary bladder, bowel and soft tissue. With advancement in reconstructive surgery, extensive resection with defect closure in properly selected cases of metastatic cervical cancer to the abdominal wall may be considered in an attempt at improving quality of life and overall survival. © 2018
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Keywords
Abdominal wall lesion, Cervical cancer, Metastasis of cervical cancer, Resection of lesion, Bevacizumab, Carboplatin, Paclitaxel, Abdominal mass, Abdominal wall, Abdominal wall defect, Abdominoplasty, Adult, Anterolateral thigh flap, Appendectomy, Article, Bladder dome, Cancer size, Case report, Clinical article, Composite graft, Cytoreductive surgery, Dissection, Distant metastasis, Epithelization, Erythrocyte transfusion, Female, Femoral artery, Fine needle aspiration biopsy, Follow up, Hematuria, Human, Human tissue, Intraoperative period, Lymph node dissection, Multiple cycle treatment, Myocutaneous flap, Nuclear magnetic resonance imaging, Pelvis lymph node, Positron emission tomography-computed tomography, Priority journal, Radical hysterectomy, Reconstructive surgery, Rectus abdominis muscle, Salpingooophorectomy, Small intestine, Tissue necrosis, Uterine cervix cancer, Vastus lateralis muscle, Venous congestion