A case of cervical adenocarcinoma after laparoscopic sacrocolpopexy

Abstract

  With population aging, the number of patients with pelvic genital prolapse is increasing. As a surgical technique for pelvic genital prolapse, laparoscopic sacrocolpopexy (LSC) is now covered by insurance in Japan. The cervix remains as an anchoring point for fixing the mesh in LSC. We encountered a case of cervical adenocarcinoma arising from the remaining cervix after LSC surgery. The patient was a 68-year-old woman who underwent laparoscopic supracervical hysterectomy and LSC for pelvic organ prolapse. After 1 year, the cervical cancer test led to the diagnosis of cervical adenocarcinoma. Preoperative magnetic resonance imaging did not show a mass lesion. The patient underwent a simple trachelectomy with pelvic lymph node dissection because of adhesion. This case demonstrates that postoperative screening after LSC is important to detect cervical cancer early.