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September 24, 1982

Incisional Recurrence of Carcinoma

JAMA. 1982;248(12):1451. doi:10.1001/jama.1982.03330120021016

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To the Editor.—  A recent article by Greenlee et al (1981;246:69) on the incisional recurrence of cervical carcinoma prompted us to report a similar case in which the patient had progressive disease.

Report of a Case.—  A 43-year-old woman was admitted to our hospital because of a suprapubic mass in a lower abdominal transverse incision line. Approximately ten months previously, she had undergone a total abdominal hysterectomy for suspected uterine leiomyomata. The surgical specimen disclosed invasive squamous carcinoma of the cervix. Postoperatively, she received whole-pelvis radiotherapy that encompassed the surgical incision completely. One month before referral, she noticed a reddened and swollen area in her scar. Fine-needle aspiration cytological examination showed inflammation and dysplastic squamous cells.Admission chest roentgenogram was free of any metastases. Fine-needle aspiration cytological examination of the abdominal wall mass disclosed poorly differentiated squamous carcinoma. Subsequently the patient received cisplatin (50 mg/sq m) chemotherapy every three weeks.