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Skin Metastases to Cesarean Scar at Diagnosis of Carcinoma of Cervix in a Postpartum Female
Brittany A Davidson, Christa I Nagel and Debra L Richardson*Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center; Dallas, TX, United States
- *Corresponding Author:
- Debra L Richardson, MD
Division of Gynecologic Oncology
Department of Obstetrics and Gynecology
5323 Harry Hine Blvd, Dallas, TX, United States
Tel: 214-648-3026
Fax: 214-648-8404
E-mail: Debra.richardson@utsouthwestern.edu
Received date: October 19, 2015; Accepted date: November 09, 2015; Published date: November 16, 2015
Citation: Davidson BA, Nagel CI, Richardson DL (2015) Skin Metastases to Cesarean Scar at Diagnosis of Carcinoma of Cervix in a Postpartum Female. Cervical Cancer 1:102. doi:10.4172/2475-3173.1000102
Copyright: © 2015 Davidson BA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
Objective: The authors describe the first report of a cesarean scar metastasis at time of diagnosis of cervical cancer in a postpartum female.
Results: We describe the case of a 23 year old multiparous female who is diagnosed with stage IVB cervical cancer 5 months after an emergent cesarean delivery for preterm premature rupture of membranes. At time of diagnosis, she presented with a large cutaneous metastasis at the site of her Pfannenstiel incision. She completed a course of radiation and chemotherapy, however opted for hospice when disease progression was noted after 6 cycles of cisplatin and paclitaxel.
Conclusion: The patient’s disease was likely present at the time of her cesarean section. We recommend thorough pelvic exams in women who present late in pregnancy without prior prenatal care. Though cesarean section is thought to decrease the likelihood of cervical cancer recurrence, it does not completely obviate the risk.
