Cervical stump cancer: a study of 14 cases

• Published in: Archives of gynecology and obstetrics 2004-09, Vol.270 (2), p.126-128
• Main Authors: Silva, Cléber S, Cardoso, Cristina O, Menegaz, Renato A, Adad, Sheila J, Angotti, Luís F R, Murta, Eddie F C
• Format: Article
• Language: English
• Subjects: Adult; Aged; Cancer; Cervical cancer; Cervix Uteri - surgery; Female; Humans; Hysterectomy; Hysterectomy - methods; Middle Aged; Neoplasm Staging; Radiation therapy; Radiotherapy, Adjuvant; Survival Rate; Treatment Outcome; Uterine Cervical Neoplasms - diagnosis; Uterine Cervical Neoplasms - pathology; Uterine Cervical Neoplasms - radiotherapy; Uterine Cervical Neoplasms - therapy
• ISSN: 0932-0067; 1432-0711
• DOI: 10.1007/s00404-002-0454-9

This is a report on 14 patients with cervical stump cancer, aged 30 to 68 years old (median = 53 years), seen in a public university hospital. Over a 15-year period, 363 cases of cervical cancer were treated, of which fourteen (3.85%) were in the cervical stump. The time interval between subtotal hysterectomy and the diagnosis of the neoplasm varied from 9 days to 27 years (median = 9.3 years). 28.6% of the patients were in stage I, 42.9% in stage II and 28.6% in stage III. Fibromyoma was the major reason for the subtotal hysterectomy. Three patients underwent Wertheim-Meigs surgery, 1 in association with radiotherapy, and the other 11 patients had radiotherapy alone. The survival ranged from 12 to 120 months (median = 53.3 months). Subtotal hysterectomy should be avoided whenever possible in populations with restricted access to screening programs for cancer of the uterine cervix.