Cervical Stump Carcinoma Following Subtotal Hysterectomy: A Tragedy that Deserves a Reminder

Abstract

Cervical stump carcinoma is a rare but possible outcome of subtotal hysterectomy. Despite the postulated advantages of subtotal hysterectomy, the risk far outweighs its benefit. We report a case of cervical adenocarcinoma following subtotal hysterectomy for uterine fibroid with a view to highlighting this rare but possible outcome when the cervix is not removed at hysterectomy. A 58-year-old multipara who had subtotal hysterectomy for uterine fibroid with menorrhagia. Pap smear was not done for her prior to surgery. She subsequently presented with abnormal vaginal bleeding of 2 years duration. Histopathological analysis of cervical biopsy specimen revealed adenocarcinoma. She was counseled for chemoradiation. In conclusion, total hysterectomy should be the standard of care when hysterectomy is indicated so as to prevent the occurrence of cervical stump carcinoma.