Bader A A, Bjelic-Radisic V, Tamussino K F, Pristauz G, Winter R
Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria.
Int J Gynecol Cancer. 2006 May-Jun;16(3):1479-81. doi: 10.1111/j.1525-1438.2006.00493.x.
A Schuchardt incision is frequently performed to facilitate access to the parametrium during radical vaginal hysterectomy for cervical cancer. We report an adenocarcinoma recurrence in a Schuchardt incision 12 months after radical vaginal hysterectomy for FIGO stage IB1 cervical cancer. Histology of the primary tumor had shown a well-differentiated adenocarcinoma and poorly differentiated squamous cell carcinoma of the cervix 2.6 cm in maximum diameter. After further surgical therapy and adjuvant radiotherapy, the patient died of disease 51 months after the initial operation. Cervical cancers can implant and recur in perineal incisions. Thus, it appears prudent to avoid such incisions or, if they are made, to irrigate them copiously before closing them.
在宫颈癌根治性阴道子宫切除术中，常采用舒查特切口以利于进入子宫旁组织。我们报告1例FIGO IB1期宫颈癌患者在根治性阴道子宫切除术后12个月，舒查特切口处出现腺癌复发。原发肿瘤组织学检查显示为高分化腺癌和宫颈低分化鳞状细胞癌，最大直径2.6 cm。经过进一步手术治疗和辅助放疗，患者在初次手术后51个月死于疾病。宫颈癌可种植并在会阴切口处复发。因此，避免此类切口似乎较为谨慎，或者如果进行了此类切口，在关闭前应大量冲洗。
