Successful pregnancy after conservative treatment of botryoid embryonal rhabdomyosarcoma of the uterine cervix. A case report

Background: Botryoid-type embryonal rhabdomyosarcoma of the cervix is gener ally considered to have a good prognosis. Case Report: A 19-year-old nulliparous woman underwent cold-knife conizatio n of the cervix because of a rhabdomyosarcoma. Histology confirmed a 5 x 4, 5 x 4 cm botryoid-type embryonal rhabdomyosarcoma with microinvasion of the cervical stroma of less than 1 mm. The surgical margins were clear. No adj uvant therapy was given. Four years after conization the patient had an une ventful pregnancy. At 6 years postoperatively she is alive with no evidence of disease. Conclusion: This report suggests that conservative management can be consid ered for selected patients with botryoidtype embryonal rhabdomyosarcoma of the cervix.