Cervical carcinoma recurring in an abdominal wall incision

Incisional recurrence of carcinoma of the uterine cervix is very rare. We r eport two patients who developed recurrence in the abdominal wall incision after hysterectomy. The first patient was aged 60 years and had a FIGO Stag e IB1 cervical carcinoma treated initially by Wertheim's hysterectomy and p ostoperative radiotherapy. Nine months after surgery she developed recurren ce on the abdominal scar, which was outside the radiation portal. She was t reated with electron beam radiation therapy. The second patient developed a n incisional recurrence 23 months after surgery and was treated by wide exc ision of the mass followed by radiotherapy. A survey of the literature iden tified 12 reported cases to date (eight squamous cell carcinoma and four ad enocarcinoma).