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Gynecol Oncol. 1995 Nov;59(2):297-9.

"Microinvasive" adenocarcinoma of the cervix implanting in an episiotomy scar.

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  • 1Regional Department of Gynaecological Oncology, Queen Elizabeth Hospital, Tyne and Wear, England.


Episiotomy scar tumor implantation arising from a cervical carcinoma is rare. This report details a patient who developed an episiotomy implant from a "microinvasive" adenocarcinoma of the cervix 5 months following vaginal delivery. The implant behaved as a primary focus for metastases to the inguinal lymph nodes. Despite subsequent treatment with chemotherapy and radiotherapy the patient succumbed to the disease. The case is the first reporting a poor outcome following an episiotomy scar implant from a primary cervical adenocarcinoma. The poor outcome highlights the controversy regarding the use of the term microinvasive with respect to glandular cervical lesions.

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