Radical parametrectomy and pelvic lymphadenectomy for incidental cervical carcinoma

Conclusion: Radical re-operation is a safe and effective option of treatment in the event of incidental cervical carcinoma. The operation provides an opportunity to assess the patient's prognostic factors, spare most of further treatment with radiotherapy, and preserve ovarian function. Results: The etiology for missed diagnosis of cervical cancer included failure to perform cytology, inappropriate follow-up of abnormal cytology, and misinterpretation of invasive cancer on histology. Eighty percent of the patients were obese with a Quetelet Index greater than 30. Thirty percent of the patients were found to have residual disease at reoperation and underwent radiotherapy subsequently. During a mean follow-up period of 27 months, only one patient has recurred. Study Design: A 6-year retrospective search of medical records revealed ten patients who were managed with radical parametrectomy, pelvic lymphadenectomy, and upper vaginectomy after diagnosis of cervical cancer on simple hysterectomy. Objective: To review the surgical management of incidental cervical cancer with regard to morbidity, and outcome.