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Radical hysterectomy for cervical carcinoma in pregnant women - a case of decidua mimicking metastatic carcinoma in pelvic lymph nodes

  • R. Hogg1,*,
  • L. Ungar1
  • P. Hazslinszky2

1Departments of Gynecological Oncology, St. Stephens Hospital, Budapest, Hungary

2Departments of Pathology, St. Stephens Hospital, Budapest, Hungary

DOI: 10.12892/ejgo200505499 Vol.26,Issue 5,September 2005 pp.499-500

Published: 10 September 2005

*Corresponding Author(s): R. Hogg E-mail:

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Abstract

Intraoperative histology is commonly used to guide the treatment of women with carcinoma of the cervix. We present a case where frozen section of the pelvic lymph nodes from a pregnant woman was suggestive of metastatic cervical carcinoma but final histology showed only decidual change.

Keywords

Cervical cancer; Pregnancy; Ectopic; Decidua; Frozen section

Cite and Share

R. Hogg,L. Ungar,P. Hazslinszky. Radical hysterectomy for cervical carcinoma in pregnant women - a case of decidua mimicking metastatic carcinoma in pelvic lymph nodes. European Journal of Gynaecological Oncology. 2005. 26(5);499-500.

URL:

https://www.ejgo.net/articles/10.12892/ejgo200505499

References

[1] Palfalvi L, Ungar L.: "Laterally extended parametrectomy (LEP), the technique for radical pelvic side wall dissection. Feasibilily, technique and results". Int. J. Gynecol. Cancer, 2003, 13, 914.

[2] Ungar L., Palfalvi L.: "Surgical treatment of lymph node metastases in Stage IB cervical cancer. The laterally extended parametrectomy (LEP) procedure". Int. J. Gynecol. Cancer, 2003, 13, 647.

[3] Giepel P.: "Ein bietrag zum vorkommen des decidualen gewerkebes in den lymphdrusen". Zentralbl Gynakol., 1914, 38, 521.

[4] Giepel P.: "Weiterer bietrag zur kenntnis des decidualen bewebes" Arch. Gynecol., 1927, 131, 650.

[5] Covell L.M., Disciullo A.J., Knapp R.C.: "Decidual change in pelvic lymph nodes in the presence of cervical squamous cell carcinoma during pregnancy". Am. J. Obstet. Gynecol., 1977, 127, 674.

[6] Ashraf M., Boyd C.B., Beresford W.A.: "Ectopic decidual cell reaction in para-aortic and pelvic lymph nodes in the presence of cervical squamous cell carcinoma during pregnancy". J. Surg Oneal., 1984, 26, 6.

[7] Burnett R.A., Millan D.: "Decidual change in pelvic lymph nodes a source of possible diagnostic error". Histopathology, 1986, 10, 1089.

[8] Cobb CJ.: "Ectopic decidua and metastatic squamous carcmoma presentation in a single pelvic lymph node". J. Surg. Oneal., 1988, 38, 126.

[9] Walker N.P., Markey A.C.: "Basal cell carcinoma: rapid techmques using cytokeratin markers to assist treatment by micrographic (Mohs') surgery". Br. J. Biomed. Science, 1995, 52, 184.

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