RT - European Journal of Gynaecological Oncology ID - 10.12892/ejgo3342.2017 T1 - Surgical removal of an isolated femoral metastasis of uterine cervical squamous cell carcinoma: a case report and review of the literature A1 - T. Ida A1 - T. Goto A1 - T. Motoi A1 - I. Nagai A1 - S. Matsubara A1 - H. Fujiwara A1 - A. Kohyama K1 - Bone metastasis; Cervical cancer; Femur; Tumor resection. YR - 2017 SP - 122 AB -

A bone metastasis from uterine cervical cancer normally indicates short life expectancy. Resection of the lesion is therefore palliative. The authors consider herein whether surgical resection can promote disease control while improving quality of life. A 33-year-old woman presenting FIGO Stage IB1 uterine cervical squamous cell carcinoma underwent a radical hysterectomy and pelvic irradiation. Twenty-two-months later, a solitary femoral metastasis was detected. Given the pain, imminent bone fracture, the patient’s relative youth, absence of other metastases, and complete control of the primary lesion, wide excision of the lesion, and reconstruction were performed. Sixteen months later, she was disease-free and ambulatory using a cane. The findings of both the present case and the review showed that patients were disease-free for over one year after surgery, suggesting that resection may assist disease control as well as improve patients’ quality of life.