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Korean Journal of Obstetrics & Gynecology 2008;51(10):1170-1176.
Published online October 1, 2008.
Surgical repair of recurrent cervical cancer at a skin incision site with using a Gore-Tex(R) Patch: A case report.
Min Jung Suh, Joo Hyuk Choi, Dong Choon Park
Department of Obstetrics and Gynecology, St. Vincent's Hospital, The Catholic University of Korea, Suwon, Korea. dcpark@catholic.ac.kr
Abstract
Recurrence of cervical cancer at a skin incision site is uncommon. We met a patient who received an incomplete operation for cervical cancer and she was transferred to our hospital. When she underwent the first operation she was misdiagnosed as having a benign uterine mass and she received an abdominal total hysterectomy. But the postoperative pathologic finding was cervical cancer. Therefore she was then referred for postoperative cisplatin-5FU concurrent chemo-radiotherapy. Five months after the concurrent chemo-radiotherapy, one solitary metastatic mass was found in the abdominal scar. We performed wide excision. The fascia defect at the excision site was so wide we could not perform the primary closure. Therefore, we used a polytetrafluoroethylene (Gore-Tex(R)) patch as a fascia substitute and we reconstructed the abdominal wall with a fasciocutaneous flap. Then she received cisplatin concurrent chemo-radiation therapy.
Key Words: Recurrence at a skin incision site, Cervical cancer, Gore-Tex(R)
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