Cervical sarcoma botryoides - A case report

BACKGROUND: Sarcoma botryoides is a rave gynecologic malignancy. Reported t reatment protocols range from localized resection of the turner to radical surgery and adjuvant chemotherapy. Recently, limited excisional surgery com bined with chemotherapy has contributed to excellent survival rates and pre served bladder and rectal function. CASE: We report a case of cervical sarcoma botryoides with minimal invasion . The patient had primary surgical treatment with complete resection of the tumor without adjuvant chemotherapy. Four months after surgery she present ed with extensive metastatic retroperitoneal disease and died two weeks lat er. CONCLUSION: The clinical course of this patient suggests that complete surg ical resection in cases of localized disease is not adequate therapy for sa rcoma botryoides. Adjuvant chemotherapy should always be used, even at a ve ry early stage.