Surgical treatment of recurrent endometrial cancer with a pelvic abscess: a clinical case

Abstract

The article presents a clinical case of a patient with stage IA endometrial cancer, who, at a later date following specialized treatment conducted according to established standards, was diagnosed with disease progression complicated by an abscess in the pelvic area. The treatment strategy involved radical surgical intervention, which included pelvic sanitation, abscess resolution, and simultaneous complete cytoreduction – resection of the sigmoid colon, ureteral ligation, creation of a single-barrel colostomy, and extended pelvic lymphadenectomy. A key factor in implementing the treatment plan was an interdisciplinary approach involving specialists from various fields to address both the oncological process and the resulting complications, which led to the effectiveness of the procedures performed.

Keywords

• uterine cancer
• lower uterine segment
• prognostic factor
• progression
• pelvic abscess
• surgical treatment
• pelvic evisceration