Management of recurrent cervical cancer with peritoneal carcinomatosis with HIPEC

Abstract

Cervical cancer is the fourth most common malignancy in women in the world; however, a substantial portion of these malignancies are declining with increasingly sophisticated screening. Unfortunately, recurrent cervical cancer has a dismal prognosis and its management continues to be a growing area of research. While the foundation of treatment remains platinum-based chemotherapies, new techniques such as HIPEC have been evaluated. We present two patients with recurrent cervical adenocarcinoma with peritoneal carcinomatosis who were treated with HIPEC during de-bulking surgery with substantial disease-free survival.One of our patients had 15 months of disease-free survival before developing biliary metastases and the other remains disease free for over 24 months.

Keywords

• Recurrent cervical cancer
• HIPEC
• Peritoneal carcinomatosis