Abstract
Objective:
Second uterine carcinosarcoma (UCS) occurs in <1% of patients after >5 years of treatment with concurrent chemoradiotherapy (CCRT) for cervical cancer. Surgical staging with lymphadenectomy is the mainstay of management that is largely done by the laparotomic approach. A Medline search for treatment of uterine carcinosarcoma after radiotherapy for cervical cancer was done using terms “uterine carcinosarcoma,” “radiotherapy for cervical cancer,” and “second primary uterine cancer,” there is no case report or literature wherein UCS is treated by laparoscopy.
Case Report:
We present the first documented case of UCS diagnosed in a 72-year-old lady after 11 years of CCRT for cervical cancer stage 1B2, managed by laparoscopic staging wherein washing cytology, total hysterectomy, and bilateral salpingoophorectomy with pelvic and para-aortic lymphadenectomy were done.
Conclusion:
Minimal invasive surgical approach for surgical staging of irradiation-induced UCS may become a useful surgical option even in advanced stage in the era of minimally invasive surgery, offering advantages such as lower intraoperative blood loss, less need of transfusion, and shorter hospital stay with probably improved survival.
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