Radical Parametrectomy, Upper Vaginectomy and Pelvic Lymphadenectomy of Invasive Cervical Cancer Following Simple Hysterectomy: Report of 3 Cases

Three cases of early invasive cervical cancer found incidentally after simple hysterectomy are reported. Radical re-operation of radical parametrectomy, upper vaginectomy, and pelvic lymphadenectomy was carried out in these patients without serious perioperative morbidity. Although the operation seems to be technically more difficult than the Wertheim operation, it is an attractive option in selected patients especially young women with no clinical evidence of residual tumor. Such operation should be done by gynecologic surgeon experienced in Wertheim operation.