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Open AccessCase Report

Total Exenteration En Bloc with a Nephrectomy for Locally Advanced Cervical Cancer Invading a Pelvic Kidney—a Case Report and Literature Review

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“Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, Romania
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Department of Obstetrics and Gynecology, “I. Cantacuzino” Clinical Hospital, 030167 Bucharest, Romania
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Department of Visceral Surgery, “Fundeni” Clinical Institute, 022328 Bucharest, Romania
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Department of Surgery, “Ponderas” Academic Hospital, 021188 Bucharest, Romania
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Department of Visceral Surgery, “I. Cantacuzino” Clinical Hospital, 030167 Bucharest, Romania
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Department of Internal Medicine, Clinical Emergency Hospital of Bucharest, 105402 Bucharest, Romania
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Department of Internal Medicine, “Fundeni” Clinical Institute, 022328 Bucharest, Romania
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Department of Obstetrics and Gynecology, “Elias” Emergency University Hospital, 011461 Bucharest, Romania
*
Author to whom correspondence should be addressed.
Authors with equal contribution.
Medicina 2020, 56(1), 33; https://doi.org/10.3390/medicina56010033
Received: 26 November 2019 / Revised: 9 January 2020 / Accepted: 10 January 2020 / Published: 15 January 2020
(This article belongs to the Special Issue Interdisciplinary Medicine)
Introduction: Extended pelvic resection might be the option of choice in patients presenting locally advanced cervical cancer. However, the possibility of a co-existence of an ectopic, pelvic kidney that is invaded by such a tumor is extremely rare. Case Presentation: A 54-year-old female patient, diagnosed with locally advanced cervical cancer in the presence of a pelvic kidney, was submitted to surgery with curative intent. A large, abscessed cervical tumor invading the urinary bladder and the rectum was found, so a total exenteration was planned. Intraoperatively, tumor invasion of the left kidney, which was found in an ectopic, pelvic position was also encountered; therefore, total pelvic exenteration in association with a left nephrectomy was successfully performed. Conclusions: The presence of an ectopic, pelvic disposition of the kidney makes it susceptible to be invaded by locally advanced pelvic tumors; in such cases, a nephrectomy might also be needed.
Keywords: ectopic kidney; locally advanced cervical cancer; nephrectomy ectopic kidney; locally advanced cervical cancer; nephrectomy
MDPI and ACS Style

Bacalbasa, N.; Balescu, I.; Vilcu, M.; Dima, S.; Diaconu, C.; Iliescu, L.; Filipescu, A.; Brezean, I. Total Exenteration En Bloc with a Nephrectomy for Locally Advanced Cervical Cancer Invading a Pelvic Kidney—a Case Report and Literature Review. Medicina 2020, 56, 33.

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